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NPI Code Detail

MEDICARE: DRNC, LLC

MEDICARE: DRNC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1583096FL

General Provider Information

NPI Number : 1215952809
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRNC, LLC
Provider Business Mailing Address
First Line : 2979 PGA BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2911
Country : US
Telephone Number : 561-627-0664
Fax Number : 561-627-2867
Provider Business Practice Location Address
First Line : 785 S 2ND ST
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-4903
Country : US
Telephone Number : 850-892-2176
Fax Number : 850-892-0781
Authorized Official
Title or Position : AUDIT & REIMBURSEMENT SENIOR ANALYS
Name : MRS. JULIE C. KLEISER
Credential :
Telephone Number : 561-627-0664
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/22/2020

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