Organization
HEALTHCARE PROPERTIES OF ST AUGUSTINE INC
Active
Other names
Ponce de Leon Care Center or The Ponce Therapy Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY MCLAREN HIRSCHMAN (DIRECTOR OF CLINICAL OPERATIONS)
(615) 297-1020
Entity
Organization
Contact information
Practice address
1999 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 824-3311
(904) 825-1264
Mailing address
210 25TH AVE NORTH, SUITE 508, NASHVILLE, TN 37203
(615) 297-1020
(615) 383-3083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1450096
FL
Other
Enumeration date
06/28/2005
Last updated
07/21/2010
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