Organization
SAN JOSE BLVD OPCO LLC
Active
Other names
Aviata at San Jose
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
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
—
—
Other
Enumeration date
07/14/2023
Last updated
04/09/2025
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