Organization
LP JACKSONVILLE, LLC
Active
Parent organization
LP O HOLDINGS II, LLC
Other names
Signature HealthCARE of Jacksonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP O HOLDINGS II, LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
2061 HYDE PARK RD, JACKSONVILLE, FL 32210-3815
(904) 786-7331
(904) 786-4034
Mailing address
2061 HYDE PARK RD, JACKSONVILLE, FL 32210-3815
(904) 786-7331
(904) 786-4034
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
SNF10800961
FL
314000000X
Skilled Nursing Facility
Primary
SNF10800961
FL
Other
Enumeration date
03/09/2010
Last updated
03/01/2012
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