Organization
BAKER COUNTY MEDICAL SERVICES INC.
Active
Other names
W.FRANK WELLS NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEVE DUDLEY (CHIEF FINANCIAL OFFICER)
(904) 653-4698
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 653-4695
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 653-4695
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1581096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021105200
—
FL
Enumeration date
10/31/2014
Last updated
10/31/2014
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