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NPI Code Detail

MEDICARE: ATRIUM CARE AND REHABILITATION

MEDICARE: ATRIUM CARE AND REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1648096FL

General Provider Information

NPI Number : 1336142538
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATRIUM CARE AND REHABILITATION
Provider Business Mailing Address
First Line : 9960 ATRIUM WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225
Country : US
Telephone Number : 904-724-4004
Fax Number : 904-724-6690
Provider Business Practice Location Address
First Line : 9960 ATRIUM WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-6487
Country : US
Telephone Number : 904-724-4004
Fax Number : 904-724-6690
Authorized Official
Title or Position : NURSING HOME ADMINISTRATOR
Name : MS. TRACY A YOUNG
Credential : NHA
Telephone Number : 904-724-4001
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2020

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1235763491 — ATRIUM HEALTH ASSISTED LIVING LLC
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1760009757 — ATRIUM SNF OPERATING LLC
Practice Location Address:
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1477170348 — ATRIUM ALF OPERATING LLC
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Practice Fax:

Directions to “ATRIUM CARE AND REHABILITATION ” Practice Location

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