Organization
WINDSOR CARE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TYLER MCGEE (PRESIDENT)
(404) 372-1579
Entity
Organization
Contact information
Practice address
501 S PALM AVE, PALATKA, FL 32177-4147
(404) 372-1579
Mailing address
210 ROLLING RIDGE CT, ROSWELL, GA 30075-1350
(404) 372-1579
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023010071
NATIONAL PROVIDER NUMBER
FL
Enumeration date
05/20/2020
Last updated
06/16/2021
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