Moosehaven INC
NPI #1831311398 in Orange Park, Florida
Provider Information
- NPI Number
- 1831311398
- Entity Type
- Organization
- Organization Name
- Moosehaven INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 3, 2007
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 1701 PARK AVENUE
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073
- Phone
- (904) 278-1212
Authorized Official
- Name
- MR. JOHN CAPES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (904) 278-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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