North Okaloosa Health Care Associates LLC
Skilled Nursing Facility in Crestview, FL. Organization (NPI-2).
NPI number1225084833
StatusActive
Last updated in NPPESNov 4, 2012
Details
- NPI
- 1225084833
- Entity type
- Organization (NPI-2)
- Legal business name
- North Okaloosa Health Care Associates LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Nov 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF130471012 | FL | Yes |
Other names
- Shoal Creek Rehabilitation Center (Doing Business As)
Practice location
500 Hospital DrCrestview, FL 32539-7355
Phone 850-689-3146 · Fax 850-689-2286
Mailing address
500 Hospital DrCrestview, FL 32539-7355
Phone 850-689-3146 · Fax 850-689-2286
Authorized official
Matthew H. Baltz
Manager
8506893146
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