Organization
IHS OF FLORIDA AT JACKSONVILLE INC
Active
Other names
West Jacksonville Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
1650 FOURAKER RD, JACKSONVILLE, FL 32221
(904) 786-8668
(904) 695-0166
Mailing address
1650 FOURAKER RD, JACKSONVILLE, FL 32221
(904) 786-8668
(904) 695-0166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1087096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218171
—
FL
Enumeration date
12/09/2005
Last updated
07/16/2014
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