Organization
BRADFORD TERRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARSH (CF0)
(386) 255-1054
Entity
Organization
Contact information
Practice address
808 COLLEY RD, STARKE, FL 32091-4215
(904) 964-6220
(904) 964-4446
Mailing address
808 COLLEY RD, STARKE, FL 32091-4215
(904) 964-6220
(904) 964-4446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16030961
GU
Other
Enumeration date
03/15/2006
Last updated
04/25/2012
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