Healthcare Provider Details

I. General information

NPI: 1700706744
Provider Name (Legal Business Name): FIRST PLACE QUALITY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 ANNABELLAS DR
PANAMA CITY BEACH FL
32407-6826
US

IV. Provider business mailing address

1856 ANNABELLAS DR
PANAMA CITY BEACH FL
32407-6826
US

V. Phone/Fax

Practice location:
  • Phone: 850-238-9745
  • Fax:
Mailing address:
  • Phone: 850-238-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FAYON ALLEN
Title or Position: CEO
Credential: CNA
Phone: 850-238-9745