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General NPI Number Information
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NPI Number | 1326362005
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Entity Type | Organization
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Legal Business Name | BROOKS SKILLED NURSING FACILITY, A, INC.
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 6209 BROOKS BARTRAM DR BLDG 100
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5605
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Country | US
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Telephone | 904-528-3010
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Fax | 904-528-3012
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Provider Business Mailing Address
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Address Line | 3599 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4252
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Country | US
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Telephone | 904-345-7607
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Fax | 904-345-7284
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Authorized Official
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Title or Position | DIRECTOR OF MANAGED CARE
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Name | JENI ALLEN
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Credential |
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Telephone | 904-345-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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