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Kpncinc
Nursing Facility/Intermediate Care Facility in Jacksonville, Florida
NPI 1629414479

Kpncinc is a Nursing Facility/Intermediate Care Facility based in Jacksonville, FL. Kpncinc practices in Jacksonville, FL. The NPI Number for Kpncinc is 1629414479 and holds a License No. 6906603 (Florida).

The current practice location address for Kpncinc is 764 Aqua Surf Ct, Jacksonville, FL and can be reached out via phone at 904-554-6051 and via fax at 904-361-3235.

Location: 764 Aqua Surf Ct, Jacksonville, FL, 32225-0802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629414479
Provider Name
Kpncinc
Credential
Provider Entity Type
Organization
Address
764 Aqua Surf Ct, Jacksonville, FL, 32225-0802
Phone Number
904-554-6051
Fax Number
904-361-3235
Provider Enumeration Date
05/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000568100 05 FL
institution
Provider Business Practice Location Address Details
Address
764 Aqua Surf Ct
City
Jacksonville
State
Florida
Zip
32225-0802
Phone Number
904-554-6051
Fax Number
904-361-3235
person
Provider Business Mailing Address Details
Address
764 Aqua Surf Ct
City
Jacksonville
State
Florida
Zip
32225-0802
Phone Number
904-554-6051
Fax Number
904-361-3235
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
6906603 (Florida)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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