Phc-Crestview INC

NPI #1891784344 in Crestview, Florida

Provider Information

NPI Number
1891784344
Entity Type
Organization
Organization Name
Phc-Crestview INC
Subpart
Yes (part of a larger organization)
Parent Organization
PHC-CRESTVIEW INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 18, 2005
Last Updated
Nov 12, 2009

Practice Location

Address
1849 E FIRST AVE
State
Florida
ZIP Code
32539-3109
Phone
(850) 682-5322

Authorized Official

Name
MRS. CATHERINE A ATES, R.N.
Title
PRESIDENT, CHIEF OPERATING OFFICER
Phone
(850) 682-5322

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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