Life Care St Johns Inc

NPI 1053321968 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1053321968
Enumeration Date 08/09/2006
Last Updated 04/13/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RAYMOND M RAYMOND
Position EXECUTIVE DIRECTOR
Phone (904) 940-4800
Fax (904) 940-8314
Practice Location
235 TOWERVIEW DR
ST AUGUSTINE FL, 32092, US
Phone (904) 940-4800
Fax (904) 940-8314
Business Location
235 TOWERVIEW DR
ST AUGUSTINE FL, 32092, US
Phone (904) 940-4800
Fax (904) 940-8314
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number 130471020
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According to our database, Life Care St Johns Inc NPI is 1053321968, taxonomy code is 314000000X and license number is 130471020, license state is located at Florida. Life Care St Johns Inc physically located at 235 Towerview Dr, St Augustine FL, 32092. NPI Number 1033115704 has the healthcare provider type.

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1053321968 NPI number is provided on an as is basis without warranty of any kind. 1053321968 is maintained by the National Plan & Provider Enumeration System. The contents of Life Care St Johns Inc are for informational purposes only.