Organization
GREATSTRIDESREHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA PEACOCK (HR MANAGER)
(904) 886-3228
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD, JACKSONVILLE, FL 32223-8628
(904) 886-3228
Mailing address
11276 SAN JOSE BLVD, JACKSONVILLE, FL 32223, FL 32233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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