Organization · Type 2 NPI

West Donegan Ave SNF Opco LLC

Skilled Nursing Facility · Kissimmee, FL

NPI number 1295414217 Active

Practice location

1120 W Donegan Ave
Kissimmee, FL 34741-2247

Fax (407) 994-4184

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1295414217

West Donegan Ave SNF Opco LLC's National Provider Identifier is 1295414217, issued on Jul 17, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kissimmee, FL. The record was last updated on Apr 9, 2025.