Organization
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Active
Other names
Clyde E. Lassen State Veterans' Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA R. DAY (PROGRAM DIRECTOR, FDVA)
(727) 518-3203
Entity
Organization
Contact information
Practice address
4650 STATE ROAD 16, ST AUGUSTINE, FL 32092-0600
(904) 940-2193
Mailing address
4650 STATE ROAD 16, ST. AUGUSTINE, FL 32092-0600
(904) 940-2193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
FL
Other
Enumeration date
09/23/2010
Last updated
01/22/2026
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