Organization
TERRACE OF KISSIMMEE LLC
Active
Other names
The Terrace of Kissimmee
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BROOME (ADMINISTRATOR)
(407) 935-0200
Entity
Organization
Contact information
Practice address
221 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(407) 935-0200
Mailing address
221 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14850951
FL
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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