Organization
SV - JUPITER PROPERTIES INC
Active
Other names
Pensacola Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA NELSON (CONTROLLER)
(864) 578-6599
Entity
Organization
Contact information
Practice address
1717 W AVERY ST, PENSACOLA, FL 32501-1811
(850) 434-2355
(850) 433-9547
Mailing address
1717 W AVERY ST, PENSACOLA, FL 32501-1811
(850) 434-2355
(850) 433-9547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1434096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022424300
—
FL
Enumeration date
12/09/2005
Last updated
06/04/2012
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