<Unavail>

LBN: Edgewood Nursing Center Inc
<Unavail> is an health care organization with primary practice located at 1771 Edgewood Ave W , Jacksonville FL 32208-3278. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Edgewood Nursing Center Inc can be contacted via phone (904) 766-7436, or through Hagan, Robert via phone (770) 993-4000.

Contact Information

Primary practice address
1771 Edgewood Ave W Jacksonville FL 32208-3278
Phone: (904) 766-7436
Fax: (904) 766-5749
Website:
Map and Directions
Authorized official contact:
Name: Hagan, Robert
Phone: (770) 993-4000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1962404905
LBN Legal business name Edgewood Nursing Center Inc
DBA Doing business as <Unavail>
Authorized official Hagan, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962404905 NPPES
Florida MEDICAID 025487800

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