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1C

12170 CORTEZ BOULEVARD OPERATIONS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
BROOKSVILLE, FL
Licensed since
2011
Rate
Federal identifiers
NPI registry number1497024269
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKENNETH USSERY
TitleVP
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