Fkp Fort Walton Beach Senior Living Tenant Llc

LBN: Fkp Fort Walton Beach Senior Living Tenant Llc
Fkp Fort Walton Beach Senior Living Tenant Llc is an health care organization with primary practice located at 2000 Principal Ln , Fort Walton Beach FL 32547-6636. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fkp Fort Walton Beach Senior Living Tenant Llc can be contacted via phone (850) 243-7735, or through Harwood, Ayla via phone (239) 292-1513.

Contact Information

Primary practice address
2000 Principal Ln Fort Walton Beach FL 32547-6636
Phone: (850) 243-7735
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harwood, Ayla
Phone: (239) 292-1513

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1184342867
LBN Legal business name Fkp Fort Walton Beach Senior Living Tenant Llc
DBA Doing business as
Authorized official Harwood, Ayla
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2022
Last updated Aug 18th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184342867 NPPES
Florida MEDICAID 0000000

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