Organization
4294 3RD AVENUE OPERATIONS, LLC
Active
Other names
Chipola Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
4294 3RD AVE, MARIANNA, FL 32446-2137
(850) 526-3191
(850) 526-4481
Mailing address
4294 3RD AVE, MARIANNA, FL 32446-2137
(850) 526-3191
(850) 526-4481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000538300
—
FL
Enumeration date
03/04/2022
Last updated
09/13/2024
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