Organization
LIFE CARE COMPANIONS OF NORTHWEST FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA C BALDWIN (ADMINISTRATOR)
(850) 324-4617
Entity
Organization
Contact information
Practice address
8510 SONNYBOY LN, PENSACOLA, FL 32514-3436
(850) 324-4617
(850) 462-9324
Mailing address
8510 SONNYBOY LANE, PENSACOLA, FL 32514
(850) 324-4617
(850) 462-9324
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
232860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008276300
—
FL
Enumeration date
10/28/2008
Last updated
09/10/2013
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