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PANAMA CITY DEVELOPMENTAL CENTER

Intermediate Care Facility, Mental Illness

Panama City, Florida

Provider NPI: 1568461671

Organization Information:
Organization Name:  PANAMA CITY DEVELOPMENTAL CENTER


Practice Location:
1407 LINCOLN DR  PANAMA CITY, FL 32401 US
Tel: 850-769-7771  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
FL4053095

Other Provider Identifiers:

IssuerNumberStateType
8526900FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS FL - Page 1