Healthcare Provider Details

I. General information

NPI: 1790945236
Provider Name (Legal Business Name): NF WINDSOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 E. LAURA STREET
STARKE FL
32091
US

IV. Provider business mailing address

40 SOUTH PALAFOX PLACE SUITE 400
PENSACOLA FL
32502-5697
US

V. Phone/Fax

Practice location:
  • Phone: 904-964-3383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRETT BARNETT
Title or Position: PRESIDENT
Credential:
Phone: 850-430-0000