Healthcare Provider Details

I. General information

NPI: 1033434196
Provider Name (Legal Business Name): CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16257 STATE ROAD 71 S
BLOUNTSTOWN FL
32424-2808
US

IV. Provider business mailing address

16257 STATE ROAD 71 S
BLOUNTSTOWN FL
32424-2808
US

V. Phone/Fax

Practice location:
  • Phone: 850-674-5411
  • Fax: 800-287-4394
Mailing address:
  • Phone: 850-674-5411
  • Fax: 800-287-4394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4019
License Number StateFL

VIII. Authorized Official

Name: EMILY MARLO BROWN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 850-674-5411