Bradford Terrace Llc

NPI 1306815147 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1306815147
Enumeration Date 03/15/2006
Last Updated 04/25/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONNA DONNA
Position CF0
Phone (904) 964-6220
Fax (904) 964-4446
Practice Location
808 COLLEY RD
STARKE FL, 32091-4215, US
Phone (904) 964-6220
Fax (904) 964-4446
Business Location
808 COLLEY RD
STARKE FL, 32091-4215, US
Phone (904) 964-6220
Fax (904) 964-4446
Toxanomy
Taxonomy Code 314000000X
License State Guam
License Number 16030961
Remove 1306815147 NPI Number
 

According to our database, Bradford Terrace Llc NPI is 1306815147, taxonomy code is 314000000X and license number is 16030961, license state is located at Guam. Bradford Terrace Llc physically located at 808 Colley Rd, Starke FL, 32091-4215. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1306815147 NPI number is provided on an as is basis without warranty of any kind. 1306815147 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford Terrace Llc are for informational purposes only.