Organization
BEAUCLERC MANOR HEALTH CARE ASSOCIATES LLC
Active
Other names
San Jose Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN S. GAMEL (MANAGER)
(904) 739-0877
Entity
Organization
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-0877
(904) 448-9253
Mailing address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-0877
(904) 448-9253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1047096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025205100
—
FL
Enumeration date
05/24/2006
Last updated
05/26/2013
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