| NPI | 1093131476 |
|---|---|
| Doing Business As | LEGACY AT JACKSONVILLE |
| Doing Business As | BONNER STREET PLAZA HEALTHCARE & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | LYNN LINDSEY Administrator 365-694-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2024-01-02 |