Organization
SENIOR CARE OF ST JOHNS OPERATOR LLC
Active
Other names
St Johns Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (DIRECTOR OF OPERATIONS)
(770) 255-1810
Entity
Organization
Contact information
Practice address
189 SAN MARCO AVE, ST AUGUSTINE, FL 32084-2733
(904) 824-3326
(904) 825-0593
Mailing address
16 NORCROSS ST, SUITE 100, ROSWELL, GA 30075-3810
(770) 255-1810
(770) 255-0059
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF 1521096
FL
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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