Support Independent Living
Support Independent Living is a Developmental Disabilities Clinic/Center in Fort Walton Beach, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
11 Racetrack Rd NE Ste C2Fort Walton Beach, FL 32547-1867
Phone: (850) 259-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1306590260 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Marrier — Owner · (850) 259-7190 |
| Other names | Support Independent Living |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
| Mailing address | 11 Racetrack Rd Ne Ste C2, Fort Walton Beach, FL 32547-1867 |