195 Mattie M. Kelly Boulevard Operations Llc

  • 1336418102 NPI Number
  • |
  • Actived: 12 years ago
  • |
195 Mattie M. Kelly Boulevard Operations Llc is a health care provider based in Destin, FL. The NPI Number is 1336418102 and it has been active since 12 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, 195 Mattie M. Kelly Boulevard Operations Llc is an excellent option. We are here to help you get the care you need.

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Overview of 195 Mattie M. Kelly Boulevard Operations Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/22/2011
  • Last updated: 04/27/2020

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: SNF16210961
  • License State: FL

Provider Mailing Address

  • Address: 195 Mattie M Kelly Blvd
    Destin, FL 32541
  • Phone: 850-654-4588
  • Fax: 850-654-3944

Provider Practice Location

  • Address: 195 Mattie M Kelly Blvd
    Destin, FL 32541
  • Phone: 850-654-4588
  • Fax: 850-654-3944

Authorized Official

  • Name: Kenneth Ussery
  • Position/Title: Vp
  • Telephone Number: 407-571-1550

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: SNF1621096
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 006110100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for 195 Mattie M. Kelly Boulevard Operations Llc?
  • A: The npi number for 195 Mattie M. Kelly Boulevard Operations Llc is 1336418102.
  • Q: What are 195 Mattie M. Kelly Boulevard Operations Llc's specialties?
  • A: 195 Mattie M. Kelly Boulevard Operations Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is 195 Mattie M. Kelly Boulevard Operations Llc business practice location?
  • A: 195 Mattie M. Kelly Boulevard Operations Llc business practice location is 195 Mattie M Kelly Blvd, Destin, FL 32541.
  • Q: How to contact 195 Mattie M. Kelly Boulevard Operations Llc?
  • A: You can contact 195 Mattie M. Kelly Boulevard Operations Llc via 850-654-4588.
  • Q: What is the authorized official for 195 Mattie M. Kelly Boulevard Operations Llc?
  • A: The authorized office name is Kenneth Ussery with position/title is Vp and you can reach the authorized official via phone number 4075711550.
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