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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
95146 HENDRICKS RD FERNANDINA BEACH, FL 32034 US
Tel: 904-261-5518 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | FL | 4010096 |
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | FL | 40950956 |
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | FL | 028539100 |
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | FL | 40950955 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
028539100 | FL | 05 | |
028539196 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin