| Organization Name: | SACRED HEART ON THE GULF |
| NPI Number: | 1508105610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE AURELIO SANTIESTEBAN (REHAB. MANAGER) |
| Mailing Address: | 3801 E Highway 98 Port St Joe |
| State: | FL US |
| Postal Code: | 324565318 |
| Phone Number: | 8502295752 |
| Fax Number: | 8502277999 |
| NPI Enumeration Date: | 02/08/2013 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | PT27432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |