Organization
DESTIN SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR HUSTON ESQ. (GENERAL COUNSEL)
(317) 514-5985
Entity
Organization
Contact information
Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(317) 514-5985
Mailing address
421 N MACARTHUR AVE, PANAMA CITY, FL 32401-3767
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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