NPI 1093084733

1937 Jenks Avenue Operations LLC

Organisation Skilled Nursing Facility Panama City, FL

Practice location

Address: 1937 Jenks Ave, Panama City, FL 32405-4510
Phone: (850) 769-7686
Fax: (850) 769-7680

Authorised official

Name: Kenneth Ussery
Title: Vp
Phone: (407) 571-1550

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence SNF11870961 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1093084733
Entity type: Organization
NPI issued: 27 Dec 2011
Record last updated: 10 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.