Orange Park Extended Care LLC
NPI #1205805421 in Orange Park, Florida
Provider Information
- NPI Number
- 1205805421
- Entity Type
- Organization
- Organization Name
- Orange Park Extended Care LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 17, 2006
- Last Updated
- Jun 12, 2012
Practice Location
- Address
- 1125 FLEMING PLANTATION BLVD
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32003-3389
- Phone
- (904) 245-7620
Authorized Official
- Name
- MS. DONNA J. MARSH
- Title
- BOOKKEEPER
- Phone
- (386) 255-1054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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