| Organization Name: | NATURE COAST REHABILITATION INC |
| NPI Number: | 1609833185 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH JOHNSON HICKS (OWNER/PRESIDENT) |
| Mailing Address: | 1315 Nw 21st Ave Chiefland |
| State: | FL US |
| Postal Code: | 326261959 |
| Phone Number: | 3524932999 |
| Fax Number: | 3524930026 |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |