- Enrollment id
- O20260121000804
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1316817257
- Multiple npi flag
- N
- Ccn
- 105628
- Associate id
- 8729565866
- Organization name
- ENDEAR CARE NURSING LLC
- Doing business as name
- ENDEAR CARE NURSING AND REHABILITATION OF PENSACOLA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARABELLA HEALTH & WELLNESS OF PENSACOLA
- Address line 1
- 1717 W AVERY ST
- City
- PENSACOLA
- State
- FL
- Zip code
- 325011811