CCN: 105295 NPI: 1962788646 Organization

FORT WALTON REHABILITATION CENTER, LLC

1 L B J SR DR
FORT WALTON BEACH, FL 325471163

Contact Information

Phone 8508632066
Fax 8508639006
Enumeration Date 2011-10-26
Last Updated 2014-09-29

Taxonomies

Code: 314000000X License State: FL
Code: 314000000X (Primary) License State: FL License: SNF11610951

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.9848637507

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.9802564842

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.9964155768

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.980278308

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.9803449243

censusDivision 3

cbsaActualGeographicLocation 18880

providerType 38

vbpAdjustment 0.9807088048

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.