Organization
1820 SHORE DRIVE OPERATIONS LLC
Active
Other names
The Health and Rehabilitation Centre at Dolphins View
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1820 SHORE DR S, SOUTH PASADENA, FL 33707-4601
(727) 384-9300
(727) 343-8430
Mailing address
1820 SHORE DR S, SOUTH PASADENA, FL 33707-4601
(727) 384-9300
(727) 343-8430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11260961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004386300
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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