Organization · Type 2 NPI

San Jose BLVD Opco LLC

Skilled Nursing Facility · Jacksonville, FL

NPI number 1659050722 Active

Practice location

9355 San Jose Blvd
Jacksonville, FL 32257-5503

Fax (904) 448-9253

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1659050722

San Jose BLVD Opco LLC's National Provider Identifier is 1659050722, issued on Jul 14, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 9, 2025.