Provider Demographics
NPI:1083182612
Name:B & B OF PENSACOLA LLC
Entity Type:Organization
Organization Name:B & B OF PENSACOLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TATIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-525-8318
Mailing Address - Street 1:2024 E OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514
Mailing Address - Country:US
Mailing Address - Phone:850-332-6760
Mailing Address - Fax:
Practice Address - Street 1:2024 E OLIVE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514
Practice Address - Country:US
Practice Address - Phone:850-332-6760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health