Organization
SOUTH REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEDRIX DAKA (CEO)
(904) 423-0017
Entity
Organization
Contact information
Practice address
580 ELLIS RD S, SUITE 118, JACKSONVILLE, FL 32254-3582
(904) 423-0017
(904) 683-8169
Mailing address
580 ELLIS RD S, SUITE 118, JACKSONVILLE, FL 32254-3582
(904) 423-0017
(904) 683-8169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1602
FL
Other
Enumeration date
01/19/2016
Last updated
07/21/2022
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