Organization
1215 KINGSLEY AVE OPCO LLC
Active
Other names
Aviata at Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
Entity
Organization
Contact information
Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
(904) 264-2253
Mailing address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
(904) 264-2253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
04/09/2025
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