Organization
BLC WELLINGTON - FORT WALTON BEACH, LLC
Active
Other names
Brookdale Fort Walton Beach
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
233 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 864-4600
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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