| NPI | 1063097921 |
|---|---|
| Doing Business As | THE PAVILION AT JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | RAFAEL A MOERMAN Managing Member 516-865-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |