KENNETH MOORE

SAINT CLOUD, FL
NPI1134490766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  2083)
Enumeration Date2012-01-12
Last Update Date2012-01-12
Business Address
Mr. KENNETH MOORE
751 ORANGE AVE
SAINT CLOUD, FL 34769-3063
Phone number: 407-967-7128
Mailing Address
Mr. KENNETH MOORE
751 ORANGE AVE
SAINT CLOUD, FL 34769-3063
Phone number: 407-967-7128
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