Organization
OCEAN VIEW NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VINING (ADMINISTRATOR)
(386) 428-6424
Entity
Organization
Contact information
Practice address
2810 S ATLANTIC AVE, NEW SMYRNA BEACH, FL 32169-3446
(386) 428-6424
(386) 428-0640
Mailing address
2810 S ATLANTIC AVE, NEW SMYRNA BEACH, FL 32169-3446
(386) 428-6424
(386) 428-0640
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13860961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022635100
—
FL
01
—
M47
BLUE CROSS PROVIDER NUMBE
FL
01
—
Y016
FLORIDA HEALTHCARE
FL
Enumeration date
04/27/2006
Last updated
12/08/2014
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