Organization
ST PETERSBURG FACILITY OPERATIONS, LLC
Active
Other names
Living Center of St. Petersburg
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
9393 PARK BLVD, SEMINOLE, FL 33777-4140
(727) 391-2200
(727) 319-2611
Mailing address
9393 PARK BLVD, SEMINOLE, FL 33777-4140
(727) 391-2200
(727) 319-2611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1639096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008040900
—
FL
Enumeration date
07/25/2006
Last updated
12/22/2021
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