Organization
SOUTHWOOD NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KEITH CARPENTER (ADMINISTRATOR)
(904) 724-5933
Entity
Organization
Contact information
Practice address
40 ACME ST, JACKSONVILLE, FL 32211-7953
(904) 724-5933
(904) 721-1274
Mailing address
40 ACME ST, JACKSONVILLE, FL 32211-7953
(904) 724-5933
(904) 721-1274
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
SNF1508095
FL
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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