803 Oak Street Operations LLC
NPI #1356610091 in Green Cove Springs, Florida
Provider Information
- NPI Number
- 1356610091
- Entity Type
- Organization
- Organization Name
- 803 Oak Street Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 803 OAK ST
- State
- Florida
- ZIP Code
- 32043-4317
- Phone
- (904) 284-5606
Authorized Official
- Name
- KENNETH USSERY
- Title
- VP
- Phone
- (407) 571-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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