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Organization
ST. JOHNS RIVER RURAL HEALTH NETWORK
Active
Organization
ST. JOHNS RIVER RURAL HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN BILELLO (ADMINISTRATOR)
(904) 723-2162
Entity
Organization
Contact information
Practice address
644 CESERY BLVD, SUITE 210, JACKSONVILLE, FL 32211-7116
(904) 723-2162
(904) 723-2170
Mailing address
644 CESERY BLVD, SUITE 210, JACKSONVILLE, FL 32211-7165
(904) 723-2162
(904) 723-2170
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914321100
—
FL
Enumeration date
02/27/2007
Last updated
04/30/2008
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