Fort Walton Beach Developmental Center

LBN: Florida Mentor Ii Llc
Fort Walton Beach Developmental Center is an health care organization with primary practice located at 1045 Mar Walt Dr , Fort Walton Beach FL 32547-6738. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Florida Mentor Ii Llc can be contacted via phone (850) 862-0108, or through Swanson, Carol via phone (813) 389-8300.

Contact Information

Primary practice address
1045 Mar Walt Dr Fort Walton Beach FL 32547-6738
Phone: (850) 862-0108
Fax: (850) 862-7103
Website:
Map and Directions
Authorized official contact:
Name: Swanson, Carol
Phone: (813) 389-8300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1962009019
LBN Legal business name Florida Mentor Ii Llc
DBA Doing business as Fort Walton Beach Developmental Center
Authorized official Swanson, Carol
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 1st, 2020
Last updated Nov 18th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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