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NPI Code Detail

MEDICARE: CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC

MEDICARE: CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
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 Facility

Other Identifiers

General Provider Information

NPI Number : 1437760121
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
Provider Business Mailing Address
First Line : 100 SE 2ND ST STE 2000
Second Line :
City : MIAMI
State : FL
Zip : 33131-2101
Country : US
Telephone Number : 954-367-4597
Fax Number : 954-367-4564
Provider Business Practice Location Address
First Line : 5888 BLANDING BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-1927
Country : US
Telephone Number : 904-772-1220
Fax Number : 904-772-6334
Authorized Official
Title or Position : PRESIDENT DIRECTOR
Name : MS. MARGARET H FERNANDEZ
Credential :
Telephone Number : 954-367-4597
Provider Enumeration Date : 08/14/2020
Last Update Date : 08/14/2020

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Directions to “CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC ” Practice Location

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