NPI 1710162466

Natalie and Erik Tiltins

Organisation Mental Illness Intermediate Care Facility Fountain, FL

Practice location

Address: 17919 Hwy. 231, Fountain, FL 32438
Phone: (850) 722-4012
Fax: (850) 722-0203
Mailing address: PO Box 500, Fountain, FL 32438-0500

Authorised official

Name: Natalie Tiltins
Title: Owner/Operator
Phone: (850) 722-4012

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence AL5222 (FL)

Other Intermediate Care Facility, Mental Illness providers in Florida →

Registry record

NPI: 1710162466
Entity type: Organization
NPI issued: 31 Dec 2007
Record last updated: 31 Dec 2007

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.