Organization Name: | LIFE CARE COMPANIONS OF NORTHWEST FLORIDA |
NPI Number: | 1255584868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRISCILLA C BALDWIN (ADMINISTRATOR) |
Mailing Address: | 8510 Sonnyboy Ln Pensacola |
State: | FL US |
Postal Code: | 325143436 |
Phone Number: | 8503244617 |
Fax Number: | 8504629324 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |