1215 Kingsley Ave Opco LLC

NPI #1598537813 in Orange Park, Florida

Provider Information

NPI Number
1598537813
Entity Type
Organization
Organization Name
1215 Kingsley Ave Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 30, 2023
Last Updated
Apr 9, 2025

Practice Location

Address
1215 KINGSLEY AVE
State
Florida
ZIP Code
32073-4631
Phone
(904) 269-8922

Authorized Official

Name
NATHAN FREUND
Title
MANAGER
Phone
(732) 730-7480

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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