Heartland - South Jacksonville Of Jacksonville Fl LLC
Skilled Nursing Facility in Jacksonville, FL. Organization (NPI-2).
NPI number1790732287
StatusActive
Last updated in NPPESJun 16, 2017
Details
- NPI
- 1790732287
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland - South Jacksonville Of Jacksonville Fl LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Last updated
- Jun 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF1310096 | FL | Yes |
Other names
- Heartland Health Care Center Of South Jacksonville (Doing Business As)
Practice location
3648 University Blvd SJacksonville, FL 32216-4208
Phone 904-733-7440 · Fax 904-448-9425
Mailing address
333 N Summit StToledo, OH 43604-2615
Phone 419-252-5500 · Fax 877-385-9446
Authorized official
Martin D Allen
Director
4192525734
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