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CARE CENTERS OF NASSAU, LLC

Intermediate Care Facility, Mentally Retarded

Fernandina Beach, Florida

Provider NPI: 1659448306

Organization Information:
Organization Name:  CARE CENTERS OF NASSAU, LLC


Practice Location:
95146 HENDRICKS RD  FERNANDINA BEACH, FL 32034 US
Tel: 904-261-5518  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
FL4010096
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
FL40950956
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
FL028539100
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
FL40950955

Other Provider Identifiers:

IssuerNumberStateType
028539100FL05
028539196FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS FL - Page 1



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