- Enrollment id
- O20160418000589
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1669831079
- Multiple npi flag
- N
- Ccn
- 105820
- Associate id
- 8628105699
- Organization name
- BROOKS SKILLED NURSING FACILITY, A, INC.
- Doing business as name
- UNIVERSITY CROSSING
- Incorporation date
- 2010-03-18
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- UNIVERSITY CROSSING
- Address line 1
- 6210 BEACH BLVD
- City
- JACKSONVILLE
- State
- FL
- Zip code
- 322162706