PENSACOLA CARE INC. NPI 1649279589

NPI Information

  • NPI: 1649279589
  • Provider Name: PENSACOLA CARE INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Doing Business As: FORT WALTON BEACH DEVELOPMENTAL CENTER
  • Address: 113 BARKS DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 862-0108

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NPI Details

PENSACOLA CARE INC. is a residential treatment facility, intellectual and/or developmental disabilities in Fort Walton Beach, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PENSACOLA CARE INC. NPI is 1649279589. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Walton Beach Developmental Center.

The provider's business location address is:

113 BARKS DR
FORT WALTON BEACH, FL
ZIP 32547-713
Phone: (850) 862-0108
Fax: (850) 862-7103

The provider's authorized official is John Patrick Finnerty .
The authorized official title is Administrator and has the following contact phone number (850) 862-0108.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities4024096FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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