Organization
HCR MANOR CARE SERVICES OF FLORIDA, LLC
Active
Other names
ProMedica Hospice (Jacksonville)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
8130 BAYMEADOWS WAY W, SUITE 201, JACKSONVILLE, FL 32256-7451
(904) 734-2553
(904) 737-2631
Mailing address
333 N SUMMIT ST, ATTN DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7851
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141800
—
FL
Enumeration date
03/13/2007
Last updated
01/31/2022
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