Sa-pg-jacksonville Llc

NPI 1144226440 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144226440
Enumeration Date 06/22/2005
Last Updated 07/22/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ALEX ALEX
Position COO
Phone (904) 733-6954
Fax (904) 733-4877
Practice Location
5725 SPRING PARK RD
JACKSONVILLE FL, 32216-5955, US
Phone (904) 733-6954
Fax (904) 733-4877
Business Location
5725 SPRING PARK RD
JACKSONVILLE FL, 32216-5955, US
Phone (904) 733-6954
Fax (904) 733-4877
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SNF1406096
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According to our database, Sa-pg-jacksonville Llc NPI is 1144226440, taxonomy code is 314000000X and license number is SNF1406096, license state is located at Florida. Sa-pg-jacksonville Llc physically located at 5725 Spring Park Rd, Jacksonville FL, 32216-5955. NPI Number 1033115704 has the healthcare provider type.

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1144226440 NPI number is provided on an as is basis without warranty of any kind. 1144226440 is maintained by the National Plan & Provider Enumeration System. The contents of Sa-pg-jacksonville Llc are for informational purposes only.