Organization
PALM COAST HEALTH CARE ASSOCIATES LLC
Active
Other names
Grand Oaks Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J. SMITH (MANAGER)
(386) 446-6060
Entity
Organization
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
(386) 446-6033
Mailing address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
(386) 446-6033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025240900
—
FL
Enumeration date
05/25/2006
Last updated
08/02/2012
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