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11565 Harts Road Operations LLC

Skilled Nursing Facility in Jacksonville, FL. Organization (NPI-2).

NPI number1669741302
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1669741302
Entity type
Organization (NPI-2)
Legal business name
11565 Harts Road Operations LLC
Organization subpart
No
Enumeration date
Dec 27, 2011
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilitySNF15640961FLYes

Other names

  • Harts Harbor Health Care Center (Doing Business As)

Practice location

11565 Harts Rd
Jacksonville, FL 32218-3777

Phone 904-751-1834 · Fax 904-751-0272

Mailing address

11565 Harts Rd
Jacksonville, FL 32218-3777

Phone 904-751-1834 · Fax 904-751-0272

Authorized official

Miriam C. Pastor
Manager
7864572383

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