| NPI | 1629060272 |
|---|---|
| Doing Business As | DOUGLAS JACOBSON STATE VETERANS NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM G PUCKETT Program Director 727-518-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL SNF130471029) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL SNF130471029) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |