NPI:
1851848006
Provider Name:
ELLIS-MOORE COROPORATION
Doing Business As: JUMPSTART PEDIATRICS
Classification:
Skilled Nursing Facility - 3140N1450X
Entity Type:
Organization
Specialization: Nursing Care, Pediatric
Address:
3901 UNIVERSITY BLVD S
SUITE 125
JACKSONVILLE, FL
ZIP 32216
Phone:
(904) 683-4355
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ELLIS-MOORE COROPORATION 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. ELLIS-MOORE COROPORATION NPI is 1851848006. The provider is registered as an organization entity type.
The provider Is Doing Business As Jumpstart Pediatrics.
The provider's business location address is:
3901 UNIVERSITY BLVD S
SUITE 125
JACKSONVILLE, FL
ZIP 32216-312
Phone: (904) 683-4355
Fax: (904) 683-7089
The provider's authorized official is Joni Hughes .
The authorized official title is Owner/administrator and has the following contact phone number (904) 710-0437.
The enumeration date for this NPI number is 9/6/2016 and was last updated on 9/6/2016.