Russell Wayne Tolliver in Jacksonville - Skilled Nursing Facility

Russell Wayne Tolliver - NPI 1972796175

Russell Wayne Tolliver is a Skilled Nursing Facility in Jacksonville, Florida. Russell Wayne Tolliver practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Russell Wayne Tolliver is 1972796175. The last update date is 2007-08-21.

Russell Wayne Tolliver's current location address is 4083 Sunbeam Rd, Jacksonville, Florida. You can contact this provider via phone number 9047331338. The mailing address for Russell Wayne Tolliver is 4083 Sunbeam Rd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Wayne Tolliver
Address 4083 Sunbeam Rd, Jacksonville, Florida
Phone Number 9047331338
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1972796175
Provider Enumeration Date 2007-08-21
Last Updated Date 2007-08-21

Provider Mailing Address Detail

Address 4083 Sunbeam Rd
City Jacksonville
State Florida (FL)
Post Code 322578993
Phone Number 9047331338
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Definition:
(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 serv

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FAQs about Russell Wayne Tolliver

What is the Russell Wayne Tolliver's 1972796175?

The Russell Wayne Tolliver's NPI (National Provider Identifier) Number is 1972796175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Russell Wayne Tolliver is physically located?

The Russell Wayne Tolliver is situated at the following address: 4083 Sunbeam Rd, Jacksonville, FL 322578993.

What is the area of specialization for Russell Wayne Tolliver, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell Wayne Tolliver is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did the Russell Wayne Tolliver receive its 1972796175 assignment from the Centers for Medicare & Medicaid Services?

The Russell Wayne Tolliver was assigned its 1972796175 by the Centers for Medicare & Medicaid Services on 2007-08-21.

When was the information related to Russell Wayne Tolliver most recently updated or refreshed?

The details pertaining to the Russell Wayne Tolliver, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-21.

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