3101 Ginger Drive Operations LLC
Skilled Nursing Facility in Tallahassee, FL. Organization (NPI-2).
NPI number1902175417
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1902175417
- Entity type
- Organization (NPI-2)
- Legal business name
- 3101 Ginger Drive Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2011
- Certification date
- Apr 28, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF12210961 | FL | Yes |
Other names
- Heritage Healthcare Center At Tallahassee (Doing Business As)
Practice location
3101 Ginger DrTallahassee, FL 32308-4437
Phone 850-877-2177 · Fax 850-942-1202
Mailing address
3101 Ginger DrTallahassee, FL 32308-4437
Phone 850-877-2177 · Fax 850-942-1202
Authorized official
Kenneth Ussery
Vp
4075711550
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