Whalio Doctors

NPI 1972594729

Phc-Blountstown INC

Organisation Skilled Nursing Facility Blountstown, FL

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
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence SNF12870961 (FL)

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.