Provider Demographics
NPI:1588911358
Name:HOWELLS ASSISTED LIVING FACILITY # 2
Entity type:Organization
Organization Name:HOWELLS ASSISTED LIVING FACILITY # 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:MARGARETTA
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-892-0631
Mailing Address - Street 1:541 MOUNTAIN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435-8635
Mailing Address - Country:US
Mailing Address - Phone:850-892-0631
Mailing Address - Fax:
Practice Address - Street 1:541 MOUNTAIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435-8635
Practice Address - Country:US
Practice Address - Phone:850-892-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9953310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility