Provider Demographics
NPI:1831660240
Name:THE RHEMA HOUSE ASSISTED LIVING FACILITY,INC
Entity Type:Organization
Organization Name:THE RHEMA HOUSE ASSISTED LIVING FACILITY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-602-5725
Mailing Address - Street 1:2910 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-3999
Mailing Address - Country:US
Mailing Address - Phone:850-602-5725
Mailing Address - Fax:850-285-0258
Practice Address - Street 1:2910 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-3999
Practice Address - Country:US
Practice Address - Phone:850-602-5725
Practice Address - Fax:850-434-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility