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Organization
OKALOOSA COUNTY COUNCIL ON AGING
Active
Organization
OKALOOSA COUNTY COUNCIL ON AGING
Active
Other names
Elder Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH ROBERTA LOVEJOY (ADMINISTRATOR)
(850) 833-9165
Entity
Organization
Contact information
Practice address
207 HOSPITAL DRIVE, FORT WALTON BEACH, FL 32548
(850) 833-9165
(850) 833-9174
Mailing address
207 HOSPITAL DRIVE, FORT WALTON BEACH, FL 32548
(850) 833-9165
(850) 833-9174
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024863101
—
FL
Enumeration date
06/17/2011
Last updated
06/17/2011
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