Organization
BONIFAY NSG & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY E HALL NHA (ADMINISTRATOR)
(850) 547-9289
Entity
Organization
Contact information
Practice address
304 N BROCK AVE, BONIFAY, FL 32425
(850) 547-9289
(850) 547-2575
Mailing address
304 N BROCK AVE, BONIFAY, FL 32425
(850) 547-9289
(850) 547-2575
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
SNF10570961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026344300
—
FL
Enumeration date
09/06/2006
Last updated
07/29/2008
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