Individual provider · Type 1 NPI

Russell Wayne Tolliver

Skilled Nursing Facility · Jacksonville, FL

NPI number 1972796175 Active

Practice location

4083 Sunbeam Rd, Apartment 1409
Jacksonville, FL 32257-8993

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 1972796175

Russell Wayne Tolliver's National Provider Identifier is 1972796175, issued on Aug 21, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 21, 2007.