<Unavail>

LBN: Panama City Developmental Center
<Unavail> is an health care organization with primary practice located at 1407 Lincoln Dr , Panama City FL 32401-2870. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Panama City Developmental Center can be contacted via phone (850) 769-7771, or through Pennywell, Phyllis via phone (850) 769-7771.

Contact Information

Primary practice address
1407 Lincoln Dr Panama City FL 32401-2870
Phone: (850) 769-7771
Fax: (850) 522-8966
Website:
Map and Directions
Authorized official contact:
Name: Pennywell, Phyllis
Phone: (850) 769-7771

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 4053095 Florida

Profile Details

NPI number 1568461671
LBN Legal business name Panama City Developmental Center
DBA Doing business as <Unavail>
Authorized official Pennywell, Phyllis
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1568461671 NPPES
Florida MEDICAID 8526900

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