Samantha Wilson Care Center

LBN: St Johns County Welfare Federation
Samantha Wilson Care Center is an health care organization with primary practice located at 161 Marine St , St Augustine FL 32084-5154. 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. St Johns County Welfare Federation can be contacted via phone (904) 829-3475, or through Lake, Larry via phone (904) 824-2501.

Contact Information

Primary practice address
161 Marine St St Augustine FL 32084-5154
Phone: (904) 829-3475
Fax: (904) 808-9908
Website:
Map and Directions
Authorized official contact:
Name: Lake, Larry PHD, NHA
Phone: (904) 824-2501

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1489096 Florida

Profile Details

NPI number 1861548562
LBN Legal business name St Johns County Welfare Federation
DBA Doing business as Samantha Wilson Care Center
Authorized official Lake, Larry PHD, NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 22nd, 2020 - about 6 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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