SHELTON MANOR INC NPI 1821617333

NPI Information

SHELTON MANOR INC is an assisted living facility in Pensacola, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SHELTON MANOR INC NPI is 1821617333. The provider is registered as an organization entity type.

The provider's business location address is:

9700 PENSACOLA BLVD
PENSACOLA, FL
ZIP 32534-242
Phone: (850) 741-3540
Fax: (850) 857-8079

The provider's authorized official is Maranda Dean Shelton .
The authorized official title is Administrator and has the following contact phone number (850) 982-3745.

The CLIA number assigned to this NPI record is 10D2235720 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2020 and was last updated on 4/14/2020.

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:

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