626 North Tyndall Parkway Operations LLC

NPI #1376812016 in Callaway, Florida

Provider Information

NPI Number
1376812016
Entity Type
Organization
Organization Name
626 North Tyndall Parkway Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 27, 2011
Last Updated
Nov 27, 2023

Practice Location

Address
626 N TYNDALL PKWY
State
Florida
ZIP Code
32404-6132
Phone
(850) 871-6363

Authorized Official

Name
KENNETH USSERY
Title
VP
Phone
(407) 571-1550

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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