Organization
JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Active
Other names
Majestic Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TRAINOR (EXECUTIVE DIRECTOR)
(386) 775-3840
Entity
Organization
Contact information
Practice address
901 VETERANS MEMORIAL PARKWAY, ORANGE CITY, FL 32763-6167
(386) 775-3840
(386) 775-0456
Mailing address
101 NORTHLAKE DR, ORANGE CITY, FL 32763-6167
(386) 775-3840
(386) 775-0456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HHA20602096
FL
310400000X
Assisted Living Facility
AL5177
FL
314000000X
Skilled Nursing Facility
Primary
SNF12590961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026900000
—
FL
Enumeration date
08/30/2005
Last updated
09/22/2016
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