Phc-Ft Walton INC
NPI #1922099928 in Ft Walton Beach, Florida
Provider Information
- NPI Number
- 1922099928
- Entity Type
- Organization
- Organization Name
- Phc-Ft Walton INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Nov 12, 2009
Practice Location
- Address
- 1 L B J SR DR
- City
- Ft Walton Beach
- State
- Florida
- ZIP Code
- 32547-1163
- Phone
- (850) 863-2066
Authorized Official
- Name
- MR. WILLIAM AROL HUDSON, MBA
- Title
- ADMINISTRATOR
- Phone
- (850) 863-2066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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