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Organization

ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC

Active
Other names
ST JOHNS NURSING CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
ROSEMARIE BAILEY NHA (EXECUTIVE DIRECTOR)
(954) 739-6233
Entity
Organization

Contact information

Practice address
3075 NW 35TH AVE, LAUDERDALE LAKES, FL 33311-1107
(954) 739-6233
(954) 733-9579
Mailing address
3075 NW 35TH AVE, LAUDERDALE LAKES, FL 33311-1107
(954) 739-6233
(954) 733-9579

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
FL
314000000X
Skilled Nursing Facility
Primary
SNF1520096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020580000
FL
Enumeration date
09/21/2005
Last updated
07/21/2022
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