Organization
2916 HABANA WAY OPERATIONS LLC
Active
Other names
Habana Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY JR. (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
2916 HABANA WAY, TAMPA, FL 33614-7108
(813) 876-5141
(813) 876-5233
Mailing address
2916 HABANA WAY, TAMPA, FL 33614-7108
(813) 876-5141
(813) 876-5233
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15500962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004386200
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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