Organization
WILLISTON HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE STRAWN (DIRECTOR)
(615) 217-2324
Entity
Organization
Contact information
Practice address
300 NW 1ST AVE, WILLISTON, FL 32696-2006
(352) 528-3561
Mailing address
300 NW 1ST AVE, WILLISTON, FL 32696-2006
(352) 528-3561
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1381096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02678300
—
FL
01
—
M71
BCBS
FL
Enumeration date
06/19/2006
Last updated
08/22/2020
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