SUNLAND CENTER MARIANNA #1 NPI 1760558936

NPI Information

NPI: 1760558936
Provider Name: SUNLAND CENTER MARIANNA #1
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3700 WILLIAMS DR
MARIANNA, FL
ZIP 32446
Phone: (850) 482-9225
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SUNLAND CENTER MARIANNA #1 is an intermediate care facility mentally retarded in Marianna, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SUNLAND CENTER MARIANNA #1 NPI is 1760558936. The provider is registered as an organization entity type.

The provider's business location address is:

3700 WILLIAMS DR
MARIANNA, FL
ZIP 32446-973
Phone: (850) 482-9225
Fax: (850) 718-0434

The provider's authorized official is Pat H Masterson .
The authorized official title is Fiscal Assistant Ii and has the following contact phone number (850) 482-9225.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		4078096	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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