NPI 1306036488

LP Orange Park LLC

Organisation Skilled Nursing Facility Orange Park, FL

Practice location

Address: 2029 Professional Center Dr, Orange Park, FL 32073-4461
Phone: (904) 272-6194
Fax: (904) 272-2085
Mailing address: 12201 Bluegrass Parkway, Louisville, KY 40299-2361

Authorised official

Name: John Harrison
Title: Cfo
Phone: (502) 568-7800

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence SNF13900961 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1306036488
Entity type: Organization
NPI issued: 26 Jul 2007
Record last updated: 19 Oct 2010

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.