Provider Demographics
NPI:1679998389
Name:HOUSE OF HONOR, LLC
Entity Type:Organization
Organization Name:HOUSE OF HONOR, LLC
Other - Org Name:HOUSE OF HONOR, ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DUKES
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-479-2706
Mailing Address - Street 1:8090 TIPPIN AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6357
Mailing Address - Country:US
Mailing Address - Phone:850-479-2706
Mailing Address - Fax:850-479-2705
Practice Address - Street 1:8090 TIPPIN AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6357
Practice Address - Country:US
Practice Address - Phone:850-479-2706
Practice Address - Fax:850-479-2705
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KNIGHT-TURNER ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12413310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility