Organization
BAKER COUNTY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN MCKENDREE (CHAIRMAN OF BOARD)
(904) 259-3151
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 259-3279
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 259-3279
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1581096
FL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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