Organization
LP ORANGE PARK LLC
Active
Parent organization
LP O HOLDINGS LLC
Other names
Signature HealthCARE of Orange Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP O HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4461
(904) 272-6194
(904) 272-2085
Mailing address
12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13900961
FL
Other
Enumeration date
07/26/2007
Last updated
10/19/2010
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