Organization
LANIER TERRACE LLC
Active
Other names
Lanier Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY ROBERTS (ADMINISTRATOR)
(386) 366-0254
Entity
Organization
Contact information
Practice address
12740 LANIER RD, JACKSONVILLE, FL 32226-1704
(386) 366-0254
(305) 899-0201
Mailing address
12740 LANIER RD, JACKSONVILLE, FL 32226-1704
(386) 366-0254
(305) 899-0201
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
10/31/2014
Last updated
12/05/2014
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