Organization
ACV HEALTH SERVICES L L C
Active
Other names
Good Samaritan Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAG A CARTER (PRESIDENT/CEO)
(386) 658-5500
Entity
Organization
Contact information
Practice address
10676 MARVIN JONES BLVD, LIVE OAK, FL 32064-8242
(386) 658-5550
(386) 658-5666
Mailing address
PO BOX 4674, DOWLING PARK, FL 32064-1507
(386) 658-5450
(386) 658-5111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1178096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026876300
—
FL
01
—
L3Z
BCBS UB92
FL
Enumeration date
08/18/2006
Last updated
08/28/2008
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