Florida Mentor II LLC
Florida Mentor II LLC is an Intellectual Disabilities Intermediate Care Facility in Fort Walton Beach, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1045 Mar Walt DrFort Walton Beach, FL 32547-6738
Phone: (850) 862-0108
Fax: (850) 862-7103
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1962009019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Florida Mentor II LLC |
| Authorized official | Carol Swanson — Vice President Of Operations · (813) 389-8300 |
| Other names | Fort Walton Beach Developmental Center |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | November 18, 2020 |
| Certification date | November 18, 2020 |
| Mailing address | 3258 Parkside Center Cir, Tampa, FL 33619-0907 |