# PENSACOLA CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Walton Beach Developmental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649279589
- **Authorized official:** MR. JOHN PATRICK FINNERTY (ADMINISTRATOR)
- **Authorized official phone:** (850) 862-0108

## Contact information

- **Practice address:** 113 BARKS DR, FORT WALTON BEACH, FL 32547-6713
- **Practice address phone:** (850) 862-0108
- **Practice address fax:** (850) 862-7103
- **Mailing address:** 113 BARKS DR, FORT WALTON BEACH, FL 32547-6713
- **Mailing address phone:** (850) 862-0108
- **Mailing address fax:** (850) 862-7103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 4024096 | FL | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 08/22/2020