Organization
THE ARC OF WALTON COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY J LONAS (EXECUTIVE DIRECTOR)
(850) 892-5013
Entity
Organization
Contact information
Practice address
1408A HIGHWAY 83 N, DEFUNIAK SPRINGS, FL 32433-3817
(850) 892-5013
Mailing address
PO BOX 813, DEFUNIAK SPRINGS, FL 32435-0813
(850) 892-5013
(850) 892-7895
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
024511998
FL
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
024511998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002815900
—
FL
01
—
024511996
MEDICAID WAIVER
FL
01
—
024511998
MEDICAID WAIVER
FL
Enumeration date
09/16/2011
Last updated
09/16/2011
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