NPI 1396021077
Blountstown Rehabilitation Center, LLC
Practice location
- Address
- 17884 NE Crozier St, Blountstown, FL 32424-1050
- Phone
- (850) 674-5464
- Fax
- (850) 674-9384
- Mailing address
- 5887 Glenridge Dr NE, Atlanta, GA 30328-5574
Authorised official
- Name
- R. Mark Cronquist
- Title
- Manager
- Phone
- (404) 574-2100
Registered specialties (2)
Skilled Nursing Facility
Primary
Skilled Nursing Facility
Registry record
- NPI
- 1396021077
- Entity type
- Organization
- NPI issued
- 26 Oct 2011
- Record last updated
- 29 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.