Organization
THE BAPTIST MANOR
Active
Other names
The Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A DONALDSON (CPO/CSO)
(850) 304-8657
Entity
Organization
Contact information
Practice address
10095 HILLVIEW DR, PENSACOLA, FL 32514-5428
(850) 479-4000
Mailing address
10095 HILLVIEW DR, PENSACOLA, FL 32514-5428
(850) 479-4000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1030095
FL
332B00000X
Durable Medical Equipment & Medical Supplies
SNF1030095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N04
BCBS FLORIDA
FL
Enumeration date
09/06/2006
Last updated
01/11/2008
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