ISLF-DEERWOOD PLACE-JACKSONVILLE, LLC
Skilled Nursing Facility
Jacksonville, Florida
Provider NPI: 1548264096
Organization Information:Organization Name: ISLF-DEERWOOD PLACE-JACKSONVILLE, LLC
Practice Location:
7130 SOUTHSIDE BLVD JACKSONVILLE, FL 32256 US
Tel: 904-642-7300 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:
7130 SOUTHSIDE BLVD JACKSONVILLE, FL 32256 US
Tel: 904-642-7300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF1467096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
026972700 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin