M-k Of Fernandina Beach

NPI 1063411668 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1063411668
Enumeration Date 07/18/2005
Last Updated 10/16/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LYNDA LYNDA
Position NURSING HOME ADMINISTRATOR
Phone (904) 261-0771
Fax (904) 261-3909
Practice Location
1625 LIME ST
FERNANDINA BEACH FL, 32034-3017, US
Phone (904) 261-0771
Fax (904) 261-3909
Business Location
1625 LIME ST
FERNANDINA BEACH FL, 32034-3017, US
Phone (904) 261-0771
Fax (904) 261-3909
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SNF1457096
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According to our database, M-k Of Fernandina Beach NPI is 1063411668, taxonomy code is 314000000X and license number is SNF1457096, license state is located at Florida. M-k Of Fernandina Beach physically located at 1625 Lime St, Fernandina Beach FL, 32034-3017. NPI Number 1033115704 has the healthcare provider type.

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1063411668 NPI number is provided on an as is basis without warranty of any kind. 1063411668 is maintained by the National Plan & Provider Enumeration System. The contents of M-k Of Fernandina Beach are for informational purposes only.