NPI 1205805421

Orange Park Extended Care LLC

Organisation Skilled Nursing Facility Orange Park, FL

Practice location

Address: 1125 Fleming Plantation Blvd, Orange Park, FL 32003-3389
Phone: (904) 245-7620
Fax: (904) 213-8338
Mailing address: 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389

Authorised official

Name: Donna J. Marsh
Title: Bookkeeper
Phone: (386) 255-1054

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 130471035 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1205805421
Entity type: Organization
NPI issued: 17 Mar 2006
Record last updated: 12 Jun 2012

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.