Organization
HAVEN OF OUR LADY OF PEACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA PEREZ (ADMINISTRATOR)
(850) 436-5900
Entity
Organization
Contact information
Practice address
1900 SUMMIT BLVD, PENSACOLA, FL 32503-3359
(850) 436-5900
(850) 436-5959
Mailing address
PO BOX 2728, PENSACOLA, FL 32513-2728
(850) 416-7070
(850) 416-7453
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025883100
—
FL
01
—
M3X
BLUE CROSS OF FLORIDA
FL
Enumeration date
07/04/2006
Last updated
01/04/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us