NPI 1568461671

Panama City Developmental Center

Organisation Mental Illness Intermediate Care Facility Panama City, FL

Practice location

Address: 1407 Lincoln Dr, Panama City, FL 32401-2870
Phone: (850) 769-7771
Fax: (850) 522-8966

Authorised official

Name: Phyllis Pennywell
Title: Administrator
Phone: (850) 769-7771

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 4053095 (FL)

Other Intermediate Care Facility, Mental Illness providers in Florida →

Registry record

NPI: 1568461671
Entity type: Organization
NPI issued: 20 Jul 2005
Record last updated: 22 Aug 2020

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.