# OKALOOSA COUNTY COUNCIL ON AGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elder Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891080867
- **Authorized official:** MRS. RUTH ROBERTA LOVEJOY (ADMINISTRATOR)
- **Authorized official phone:** (850) 833-9165

## Contact information

- **Practice address:** 207 HOSPITAL DRIVE, FORT WALTON BEACH, FL 32548
- **Practice address phone:** (850) 833-9165
- **Practice address fax:** (850) 833-9174
- **Mailing address:** 207 HOSPITAL DRIVE, FORT WALTON BEACH, FL 32548
- **Mailing address phone:** (850) 833-9165
- **Mailing address fax:** (850) 833-9174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024863101 | — | FL |