EMERALD COAST REHABILITATION CENTER, LLC
Skilled Nursing Facility
Fort Walton Beach, Florida
Provider NPI: 1891799623
Organization Information:Organization Name: EMERALD COAST REHABILITATION CENTER, LLC
Practice Location:
114 3RD ST SE FORT WALTON BEACH, FL 32548 US
Tel: 850-243-6134 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
114 3RD ST SE FORT WALTON BEACH, FL 32548 US
Tel: 850-243-6134 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF11410961 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
021290300 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin