Organization
LP SW JACKSONVILLE, LLC
Active
Parent organization
LP O HOLDINGS II, LLC
Other names
Signature Healthcare of Middleburg Rehabilitation and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP O HOLDINGS II, LLC
Authorized official
JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
1280 HENLEY ROAD, MIDDLEBURG, FL 32068
(502) 804-3711
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
07/31/2018
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