Healthcare Provider Details

I. General information

NPI: 1720447998
Provider Name (Legal Business Name): WORLD HEALTHCARE AND CONSULTING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3474 CHERRY RIDGE RD
LYNN HAVEN FL
32444-5658
US

IV. Provider business mailing address

3474 CHERRY RIDGE RD
LYNN HAVEN FL
32444-5658
US

V. Phone/Fax

Practice location:
  • Phone: 850-348-6536
  • Fax:
Mailing address:
  • Phone: 850-348-6536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberARNP9176593
License Number StateFL

VIII. Authorized Official

Name: SHAWNTELL WORLD
Title or Position: CEO
Credential: ARNP
Phone: 850-348-6536