NPI 1003273244

South Rehabilitation Center, INC.

Organisation Community/Behavioral Health Agency Jacksonville, FL

Practice location

Address: 580 Ellis Rd S Suite 118, Jacksonville, FL 32254-3582
Phone: (904) 423-0017
Fax: (904) 683-8169

Authorised official

Name: Dedrix Daka
Title: Ceo
Phone: (904) 423-0017

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1602 (FL)

Other Community/Behavioral Health providers in Florida →

Registry record

NPI: 1003273244
Entity type: Organization
NPI issued: 19 Jan 2016
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.