NPI:
1780139741
Provider Name:
FLETCHER'S MEDICAL SUPPLIES, INC.
Doing Business As: FLETCHER'S TENDER CARE
Classification:
Skilled Nursing Facility - 3140N1450X
Entity Type:
Organization
Specialization: Nursing Care, Pediatric
CLIA Number: 10D0963803
Address:
641 W 4TH ST
JACKSONVILLE, FL
ZIP 32209
Phone:
(904) 387-4481
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FLETCHER'S MEDICAL SUPPLIES, INC. is a nursing care and pediatric skilled nursing facility in Jacksonville, FL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. FLETCHER'S MEDICAL SUPPLIES, INC. NPI is 1780139741. The provider is registered as an organization entity type.
The provider Is Doing Business As Fletcher's Tender Care.
The provider's business location address is:
641 W 4TH ST
JACKSONVILLE, FL
ZIP 32209-624
Phone: (904) 387-4481
Fax: (866) 381-7235
The provider's authorized official is William David Fletcher .
The authorized official title is President/owner and has the following contact phone number (904) 387-4481.
The CLIA number assigned to this NPI record is 10D0963803 - other - ppec with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/19/2016 and was last updated on 9/29/2016.