# 5377 JAX OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacksonville Rehabilitation and Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518757939
- **Authorized official:** JOE NEUMAN (MANAGER)
- **Authorized official phone:** (718) 916-1443

## Contact information

- **Practice address:** 144 SHADY LANE DR, LAKEWOOD, NJ 08701-2351
- **Practice address phone:** (718) 916-1443
- **Mailing address:** 5377 MONCRIEF RD, JACKSONVILLE, FL 32209-3159
- **Mailing address phone:** (904) 768-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 05/08/2025