OrganizationActive
11565 Harts Road Operations LLC
NPI 1669741302 · Skilled Nursing Facility · Jacksonville, FL
Provider details
- NPI number
- 1669741302
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Miriam Pastor, Manager
- License
- SNF15640961 (FL)
Practice location
11565 Harts Rd
Jacksonville, FL 32218-3777
Phone: (904) 751-1834
Fax: (904) 751-0272
Mailing address
11565 Harts Rd
Jacksonville, FL 32218-3777
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.