Boswell Manor Llc

LBN: Boswell Manor Llc
Boswell Manor Llc is an health care organization with primary practice located at 2185 Highway 173 , Bonifay FL 32425-5705. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Boswell Manor Llc can be contacted via phone (850) 768-9026, or through Boswell, Lacey via phone (850) 768-9026.

Contact Information

Primary practice address
2185 Highway 173 Bonifay FL 32425-5705
Phone: (850) 768-9026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boswell, Lacey
Phone: (850) 768-9026

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1013489962
LBN Legal business name Boswell Manor Llc
DBA Doing business as
Authorized official Boswell, Lacey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 17th, 2018 - about 7 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 1013489962 NPPES
Florida MEDICAID 100834700

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