Organization
NORTHPORT HEALTH SERVICES OF FLORIDA, LLC
Active
Other names
Saint Augustine Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
51 SUNRISE BLVD, ST AUGUSTINE, FL 32084-6216
(904) 824-4479
Mailing address
51 SUNRISE BLVD, ST AUGUSTINE, FL 32084-6216
(904) 824-4479
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021773500
—
FL
Enumeration date
05/24/2006
Last updated
10/27/2020
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