NPI 1972594729
Phc-Blountstown INC
Practice location
- Address
- 17884 NE Crozier St, Blountstown, FL 32424-1050
- Phone
- (850) 674-5464
- Fax
- (850) 674-9384
- Mailing address
- 909 Garden Gate Cir, Pensacola, FL 32504-8629
Authorised official
- Name
- Catherine a Ates
- Title
- President, Chief Operating Officer
- Phone
- (850) 682-5322
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1972594729
- Entity type
- Organization
- NPI issued
- 1 Nov 2005
- Record last updated
- 17 Jun 2008
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.