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General NPI Number Information
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NPI Number | 1669831079
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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 | 02/12/2016
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 6210 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2706
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Country | US
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Telephone | 904-345-8100
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Fax | 904-345-8108
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Provider Business Mailing Address
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Address Line | 3599 UNIVERSITY BLVD S ATTN: MANAGED CARE
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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 | 904-345-7291
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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 | SNF1149095
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License Number State | FL
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