| NPI | 1225084833 |
|---|---|
| Doing Business As | SHOAL CREEK REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW H. BALTZ Manager 850-689-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130471012) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-11-04 |