| Sandy Ridge Nursing Home | |
|
5360 Glover Ln Milton FL 32570-4189 | |
| (850) 626-9225 | |
| (852) 626-5983 |
| Full Name | Sandy Ridge Nursing Home |
|---|---|
| Speciality | Family Medicine |
| Location | 5360 Glover Ln, Milton, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Ridge Nursing Home Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Sandy Ridge Nursing Home 5360 Glover Ln Milton FL 32570-4189 Ph: (850) 626-9225 |
| NPI Number | 1386313534 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386313534 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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