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Kissimmee Health Care Associates Llc

Kissimmee Health Care Associates Llc is a health care provider in Kissimmee, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1120 W Donegan Ave, Kissimmee, FL 34741-2247, US
Practice Location Phone407-847-2854
Practice Location Fax407-994-4184
Legal Business NameKISSIMMEE HEALTH CARE ASSOCIATES LLC
Other Organization NameKEYSTONE REHABILITATION AND HEALTH CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1427003763
Entity TypeOrganization
Enumeration Date ? May 24, 2006
Last Update Date ? Sep 27, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kissimmee Health Care Associates Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 130471039Florida

legacy-id-icon Legacy Provider IDs of Kissimmee Health Care Associates Llc

Provider IdIssuer StateIssuer TypeIssuer
031756000FloridaMedicaid

official-icon Authorized Official of Kissimmee Health Care Associates Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kissimmee Health Care Associates 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 Tyrus D. Hawkins
Authorized Official Title/PositionMANAGER
Authorized Official Phone Number407-847-2854