| South Rehabilitation Center, Inc. | |
|
580 Ellis Rd S Suite 118 Jacksonville FL 32254-3582 | |
| (904) 423-0017 | |
| (904) 683-8169 |
| Full Name | South Rehabilitation Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 580 Ellis Rd S, Jacksonville, Florida |
| Authorized Official Name and Position | Dedrix Daka (CEO) |
| Authorized Official Contact | 9044230017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Rehabilitation Center, Inc. 580 Ellis Rd S Suite 118 Jacksonville FL 32254-3582 Ph: (904) 423-0017 | South Rehabilitation Center, Inc. 580 Ellis Rd S Suite 118 Jacksonville FL 32254-3582 Ph: (904) 423-0017 |
| NPI Number | 1003273244 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003273244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1602 (Florida) | Primary |
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