Organization
ST JUDE NURSING HOME INC
Active
Other names
ST JUDE NURSING & REHAB FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR E JACA (CEO)
(787) 776-3013
Entity
Organization
Contact information
Practice address
1214 CALLE JOSE ABAD, CLUB MANOR, SAN JUAN, PR 00924-4336
(787) 776-3013
(787) 762-9334
Mailing address
PO BOX 9117, PLAZA CAROLINA STATION, CAROLINA, PR 00988-9117
(787) 776-3013
(787) 762-9334
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4
PR
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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