Organization
JACKSONVILLE REHABILITATION AND NURSING CENTER LLC
Active
Other names
Westside Oaks Rehabilitation and Nursing Center, Jacksonville Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MEMBER)
(917) 613-1662
Entity
Organization
Contact information
Practice address
2061 HYDE PARK RD, JACKSONVILLE, FL 32210-3815
(904) 786-7331
(904) 786-4034
Mailing address
2061 HYDE PARK RD, JACKSONVILLE, FL 32210-3815
(904) 786-7331
(904) 786-4034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10800961
LICENSE
FL
Enumeration date
07/20/2022
Last updated
10/07/2024
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