Organization
ALL SAINTS NURSING HOME & REHAB. CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE MICHELLE O'DONNELL (ADMINISTRATOR)
(904) 772-1220
Entity
Organization
Contact information
Practice address
5888 BLANDING BLVD, JACKSONVILLE, FL 32244-1927
(904) 772-1220
(904) 772-6334
Mailing address
5888 BLANDING BLVD, JACKSONVILLE, FL 32244-1927
(904) 772-1220
(904) 772-6334
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1007096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020073500
—
FL
01
—
41601
AHCA
FL
01
—
K6Q
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
02/09/2010
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