NPI 1033566351
Greatstridesrehabilitation
Practice location
- Address
- 12276 San Jose Blvd, Jacksonville, FL 32223-8628
- Phone
- (904) 886-3228
- Mailing address
- 11276 San Jose Blvd, Jacksonville, Fl 32223, FL 32233
Authorised official
- Name
- Samantha Peacock
- Title
- Hr Manager
- Phone
- (904) 886-3228
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1033566351
- Entity type
- Organization
- NPI issued
- 17 May 2016
- Record last updated
- 17 May 2016
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.