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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

195 MATTIE M. KELLY BOULEVARD OPERATIONS LLC

Active Organization

195 MATTIE M. KELLY BOULEVARD OPERATIONS LLC is a Skilled Nursing Facility organization located in DESTIN, Florida. NPI 1336418102 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · DESTIN, FL

Registration Details

NPI Number
1336418102
Provider Type
Organization
NPI Issued
Dec 22, 2011 (14.65577193727 yrs)
Last Updated
Nov 27, 2023
License
SNF16210961 (FL)

Practice Information

Address
195 MATTIE M KELLY BLVD
DESTIN, FL, 325412811
Browse FL providers · Browse ZIP 32541
Phone
8506544588
Fax
8506543944
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in DESTIN, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.