FW
FORT WALTON REHABILITATION CENTER, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
FORT WALTON BEACH, FL
Licensed since
2011
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1962788646
CMS Certification Number (CCN)105295
Agency details
Avg residents / day105.4
OwnershipFor profit - Limited Liability company
Chain affiliationSOVEREIGN HEALTHCARE HOLDINGS
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameR. CRONQUIST
TitleMANAGER
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