Organization
COMMUNITY REHABILITATION CENTER INC
Active
Other names
CRC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE P. HICKS I MA (CLINICAL DIRECTOR)
(904) 358-1211
Entity
Organization
Contact information
Practice address
623 BEECHWOOD STRRET, JACKSONVILLE, FL 32206
(904) 358-1211
(904) 358-1551
Mailing address
623 BEECHWOOD ST, JACKSONVILLE, FL 32206-6236
(904) 358-1211
(904) 358-1551
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
305S00000X-POINT OF
FL
Other
Enumeration date
09/20/2006
Last updated
07/20/2007
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