Healthcare Provider Details

I. General information

NPI: 1851359137
Provider Name (Legal Business Name): KEY WEST CONVALESCENT CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 W. COLLEGE ROAD
KEY WEST FL
33040
US

IV. Provider business mailing address

5860 W. COLLEGE ROAD
KEY WEST FL
33040
US

V. Phone/Fax

Practice location:
  • Phone: 305-296-2459
  • Fax: 305-296-9197
Mailing address:
  • Phone: 305-296-2459
  • Fax: 305-296-9197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1265096
License Number StateFL

VIII. Authorized Official

Name: MS. ROBERT M BECHT
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 615-374-9144