Organization
FKP FORT WALTON BEACH SENIOR LIVING TENANT LLC
Active
Other names
Belvedere Commons of Fort Walton Beach
Organization subpart
No
Provider details
NPI number
Authorized official
AYLA HARWOOD (COO)
(239) 292-1513
Entity
Organization
Contact information
Practice address
2000 PRINCIPAL LN, FORT WALTON BEACH, FL 32547-6636
(850) 243-7735
Mailing address
2000 PRINCIPAL LN, FORT WALTON BEACH, FL 32547-6636
(850) 243-7735
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
FL
Enumeration date
08/18/2022
Last updated
08/18/2022
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