Organization
REGENCY CARE OF BLOUNTSTOWN, LLC
Active
Other names
Blountstown Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D WOMACK CPA (MANAGING MEMBER)
(828) 381-5360
Entity
Organization
Contact information
Practice address
16690 SW CHIPOLA RD, BLOUNTSTOWN, FL 32424-1953
(850) 674-4311
(850) 874-3798
Mailing address
PO BOX 1667, HICKORY, NC 28603-1667
(828) 324-8898
(828) 322-9598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1652096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002298700
—
FL
01
—
35960874
STATE FACILITY MDS ID NUM
FL
01
—
SNF1652096
STATE SNF LICENSE NUMBER
FL
Enumeration date
09/22/2005
Last updated
04/22/2015
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