01D0304638 CLIA NUMBER - Jacksonville Health & Rehab

Laboratory Demographics

CLIA Number: 01D0304638

Facility Name: Jacksonville Health & Rehab

Facility Address:
410 Wilson Drive Sw,
Jacksonville, AL
ZIP 36265
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Facility Phone Number: (256) 435-7704

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1033166640

Taxonomy: 314000000X - 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 01D0304638
LAB Type OTHER
Facility Name Jacksonville Health & Rehab
Street 410 Wilson Drive Sw,
City Jacksonville
State AL
ZIP 36265
Phone 2564357704

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This page was last updated on: 5/19/2019