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1316040280 NPI number — ST CATHERINE LABOURE MANOR INC

NPI Number: 1316040280
Health Care Provider/Practitioner: ST CATHERINE LABOURE MANOR INC

Information about “1316040280” NPI (ST CATHERINE LABOURE MANOR INC) exists in 1316040280 in HTML format HTML  |  1316040280 in plain Text format TXT  |  1316040280 in PDF (Portable Document Format) PDF  |  1316040280 in an XML format XML  formats.

NPI Number : 1316040280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316040280",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ST CATHERINE LABOURE MANOR INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1750 STOCKTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32204-4664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-308-7300",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1750 STOCKTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32204-4664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-308-7300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2006",
    "LastUpdateDate": "05/12/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHALEN",
    "AuthorizedOfficialFirstName": "SCOTT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "904-308-8194",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "1517096",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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