Organization
HEARTLAND OF JACKSONVILLE FL LLC
Active
Other names
Heartland Health Care Center - Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
8495 NORMANDY BLVD, JACKSONVILLE, FL 32221-6701
(904) 783-3794
(904) 693-9137
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
SNF1207095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032523600
—
FL
Enumeration date
05/28/2006
Last updated
06/16/2017
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