Orange Park Extended Care Llc

NPI 1205805421 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205805421
Enumeration Date 03/17/2006
Last Updated 06/12/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONNA J. DONNA
Position BOOKKEEPER
Phone (904) 245-7620
Fax (904) 213-8338
Practice Location
1125 FLEMING PLANTATION BLVD
ORANGE PARK FL, 32003-3389, US
Phone (904) 245-7620
Fax (904) 213-8338
Business Location
1125 FLEMING PLANTATION BLVD
FLEMING ISLAND FL, 32003-3389, US
Phone (904) 541-3500
Fax (904) 213-8338
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number 130471035
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According to our database, Orange Park Extended Care Llc NPI is 1205805421, taxonomy code is 314000000X and license number is 130471035, license state is located at Florida. Orange Park Extended Care Llc physically located at 1125 Fleming Plantation Blvd, Orange Park FL, 32003-3389. NPI Number 1033115704 has the healthcare provider type.

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1205805421 NPI number is provided on an as is basis without warranty of any kind. 1205805421 is maintained by the National Plan & Provider Enumeration System. The contents of Orange Park Extended Care Llc are for informational purposes only.