1120 West Donegan Avenue Operations Llc is a health care provider in Kissimmee, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1120 W Donegan Ave, Kissimmee, FL 34741-2247, US|
|Practice Location Phone||407-847-2854|
|Practice Location Fax||407-994-4184|
|Legal Business Name||1120 WEST DONEGAN AVENUE OPERATIONS LLC|
|Other Organization Name||KEYSTONE REHABILITATION AND HEALTH CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Dec 22, 2011|
|Last Update Date ?||May 10, 2019|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities||SNF130471039||Florida|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the 1120 West Donegan Avenue Operations Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Kenneth Ussery|
|Authorized Official Title/Position||VP|
|Authorized Official Phone Number||407-571-1550|