Organization
HEARTLAND OF ORANGE PARK FL LLC
Active
Other names
Heartland Health Care Center - Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
570 WELLS RD, ORANGE PARK, FL 32073-2999
(904) 264-3912
(904) 264-6751
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1211096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032526100
—
FL
Enumeration date
05/30/2006
Last updated
06/16/2017
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