Organization
OAK TERRACE HEALTH CARE ASSOCIATES LLC
Active
Other names
Governor's Creek Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA F. HOWARD (MANAGER)
(904) 284-5606
Entity
Organization
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
(904) 284-0392
Mailing address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
(904) 284-0392
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1181096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025238700
—
FL
Enumeration date
05/23/2006
Last updated
08/02/2012
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