12170 Cortez Boulevard Operations LLC
NPI #1497024269 in Brooksville, Florida
Provider Information
- NPI Number
- 1497024269
- Entity Type
- Organization
- Organization Name
- 12170 Cortez Boulevard Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 22, 2011
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 12170 CORTEZ BLVD
- City
- Brooksville
- State
- Florida
- ZIP Code
- 34613-5578
- Phone
- (352) 597-5100
Authorized Official
- Name
- KENNETH USSERY
- Title
- VP
- Phone
- (407) 571-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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