NPI 1255328399

Southwood Nursing Center

Organisation Nursing Facility/Intermediate Care Facility Jacksonville, FL

Practice location

Address: 40 Acme St, Jacksonville, FL 32211-7953
Phone: (904) 724-5933
Fax: (904) 721-1274

Authorised official

Name: Terry Keith Carpenter
Title: Administrator
Phone: (904) 724-5933

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence SNF1508095 (FL)

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Registry record

NPI: 1255328399
Entity type: Organization
NPI issued: 4 Oct 2005
Record last updated: 22 Aug 2020

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.