Organization
HEALTHMARK OF WALTON INC.
Active
Other names
Healthmark Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA SHIRLEY HOLLEY MS (COO)
(850) 951-4508
Entity
Organization
Contact information
Practice address
4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
(850) 951-4500
Mailing address
4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
(850) 951-4500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
212810961
FL
332B00000X
Durable Medical Equipment & Medical Supplies
4234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010188501
—
FL
Enumeration date
11/07/2005
Last updated
09/13/2021
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