Healthcare Provider Details

I. General information

NPI: 1235249368
Provider Name (Legal Business Name): HEALTH FACILITIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 SW STATE ROAD 26
TRENTON FL
32693-5881
US

IV. Provider business mailing address

7280 SW STATE ROAD 26
TRENTON FL
32693-5881
US

V. Phone/Fax

Practice location:
  • Phone: 352-463-1222
  • Fax: 352-463-1855
Mailing address:
  • Phone: 352-463-1222
  • Fax: 352-463-1855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1563096
License Number StateFL

VIII. Authorized Official

Name: MRS. FAYE D HURST
Title or Position: NURSING HOME ADMINISTRATOR
Credential: NHA
Phone: 352-463-1222