PG
PALM GARDEN OF JACKSONVILLE LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
JACKSONVILLE, FL
Licensed since
2013
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1831524883
CMS Certification Number (CCN)105682
Agency details
Avg residents / day111.5
OwnershipFor profit - Corporation
Chain affiliationPALM GARDEN HEALTH AND REHABILITATION
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMORRIS MILLER
TitleAUTHORIZED REPRESENTATIVE
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