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Organization

6414 13TH ROAD SOUTH OPERATIONS LLC

Active
Other names
Wood Lake Health and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization

Contact information

Practice address
6414 13TH ROAD S, W. PALM BEACH, FL 33415-1401
(561) 478-9900
(561) 478-5067
Mailing address
6414 13TH ROAD S, W. PALM BEACH, FL 33415-1401
(561) 478-9900
(561) 478-5067

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13390962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004778800
FL
Enumeration date
12/22/2011
Last updated
11/27/2023
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