River Valley Rehabilitation Center

LBN: Blountstown Rehabilitation Center, Llc
River Valley Rehabilitation Center is an health care organization with primary practice located at 17884 Ne Crozier St , Blountstown FL 32424-1050. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Blountstown Rehabilitation Center, Llc can be contacted via phone (850) 674-5464, or through Cronquist, R. Mark via phone (404) 574-2100.

Contact Information

Primary practice address
17884 Ne Crozier St Blountstown FL 32424-1050
Phone: (850) 674-5464
Fax: (850) 674-9384
Website:
Map and Directions
Authorized official contact:
Name: Cronquist, R. Mark
Phone: (404) 574-2100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF12870961 Florida

Profile Details

NPI number 1396021077
LBN Legal business name Blountstown Rehabilitation Center, Llc
DBA Doing business as River Valley Rehabilitation Center
Authorized official Cronquist, R. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2011
Last updated Sep 29th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396021077 NPPES
Florida MEDICAID 004488900

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