San Juan Retirement Home

LBN: San Juan Retirement Home
San Juan Retirement Home is an health care organization with primary practice located at 6561 San Juan Ave , Jacksonville FL 32210-2857. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as the primary health care specialty. San Juan Retirement Home can be contacted via phone (904) 695-9605, or through Demdam, Elvira via phone (904) 695-9605.

Contact Information

Primary practice address
6561 San Juan Ave Jacksonville FL 32210-2857
Phone: (904) 695-9605
Fax: (904) 693-1973
Website:
Map and Directions
Authorized official contact:
Name: Demdam, Elvira Registered Nurse (RN)
Phone: (904) 695-9605

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X 9587 Florida

Profile Details

NPI number 1891032868
LBN Legal business name San Juan Retirement Home
DBA Doing business as
Authorized official Demdam, Elvira Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 11 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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