Organization
ISLF-DEERWOOD PLACE-JACKSONVILLE LLC
Active
Other names
Regents Park of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JAFFE (PRESIDENT)
(215) 346-6454
Entity
Organization
Contact information
Practice address
7130 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256-7086
(904) 642-7300
(904) 641-7977
Mailing address
1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL 33401
(561) 801-7600
(414) 268-4811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1467096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026972700
—
FL
Enumeration date
06/10/2005
Last updated
08/09/2023
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