Organization
DEPARTMENT OF VETRANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA NELSON (CERTIFIED NURSE)
(386) 518-5290
Entity
Organization
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
Mailing address
15164 NW 150TH AVE, APT.3057, ALACHUA, FL 32615-5540
(386) 518-5290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
229833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26492528
—
FL
Enumeration date
11/06/2014
Last updated
11/06/2014
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