ENON COUNTRY MANOR INC NPI 1982910568

NPI Information

  • NPI: 1982910568
  • Provider Name: ENON COUNTRY MANOR INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 7701 ENON SCHOOL RD
    WALNUT HILL, FL
    ZIP 32568
  • Phone: (850) 327-4459

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NPI Details

ENON COUNTRY MANOR INC is an assisted living facility in Walnut Hill, 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. ENON COUNTRY MANOR INC NPI is 1982910568. The provider is registered as an organization entity type.

The provider's business location address is:

7701 ENON SCHOOL RD
WALNUT HILL, FL
ZIP 32568-531
Phone: (850) 327-4459

The provider's authorized official is Al Gregory .
The authorized official title is Owner and has the following contact phone number (850) 327-4459.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 8/20/2010.

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
1310400000XAssisted Living FacilityAL 5153FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AL5153MEDICAIDFLORIDA

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: 11/21/2025

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