Organization
9355 SAN JOSE BOULEVARD OPERATIONS LLC
Active
Other names
San Jose Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-0877
(904) 448-9253
Mailing address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-0877
(904) 448-9253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1047096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006110200
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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