Organization
1111 DRURY LANE OPERATIONS LLC
Active
Other names
Englewood Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
(941) 475-6593
Mailing address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
(941) 475-6593
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11440961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005985500
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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