Organization
EMERALD SHORES HEALTH CARE ASSOCIATES LLC
Active
Other names
Emerald Shores Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C. MARK (MANAGER)
(850) 871-6363
Entity
Organization
Contact information
Practice address
626 N TYNDALL PKWY, CALLAWAY, FL 32404-6132
(850) 871-6363
(850) 871-6367
Mailing address
626 N TYNDALL PKWY, CALLAWAY, FL 32404-6132
(850) 871-6363
(850) 871-6367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1292096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025219100
—
FL
Enumeration date
12/14/2005
Last updated
11/19/2013
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