1937 Jenks Avenue Operations LLC
NPI #1093084733 in Panama City, Florida
Provider Information
- NPI Number
- 1093084733
- Entity Type
- Organization
- Organization Name
- 1937 Jenks Avenue Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 27, 2011
- Last Updated
- May 10, 2019
Practice Location
- Address
- 1937 JENKS AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-4510
- Phone
- (850) 769-7686
Authorized Official
- Name
- KENNETH USSERY
- Title
- VP
- Phone
- (407) 571-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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