Healthcare Provider Details

I. General information

NPI: 1205466232
Provider Name (Legal Business Name): ATRIUM HEALTH POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 ATRIUM WAY
JACKSONVILLE FL
32225-6487
US

IV. Provider business mailing address

107 W LEMON AVE
MONROVIA CA
91016-2809
US

V. Phone/Fax

Practice location:
  • Phone: 904-724-4726
  • Fax:
Mailing address:
  • Phone: 626-658-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL SOLORZANO
Title or Position: MANAGER
Credential:
Phone: 904-454-8080