COMMUNITY REHABILITATION CENTER INC NPI 1407520554

NPI Information

COMMUNITY REHABILITATION CENTER, INC is a primary care nurse practitioner in Jacksonville, FL. COMMUNITY REHABILITATION CENTER, INC NPI is 1407520554. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Health And Wellness.

The provider's business location address is:

5960 BEACH BLVD STE 3
JACKSONVILLE, FL
ZIP 32207-113
Phone: (904) 358-1211

The provider's authorized official is Dawn Alexis Smith .
The authorized official title is Cfo and has the following contact phone number (904) 358-1211.

The CLIA number assigned to this NPI record is 10D2031844 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 2/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.