Twin Cities Pavilion is a historic 50-bed 501(c)(3) non-profit assisted living community located at 1053 East John Sims Parkway (State Road 20) in central Niceville, Okaloosa County, Florida, operating under Florida Agency for Health Care Administration (AHCA) License #AL5462 (AHCA File #11911081).

Established in 1981 by founding Executive Director Ruth Roberta Lovejoy in partnership with the Okaloosa County Board of County Commissioners and operated by Alternative Living, Inc. / Elder Services of Okaloosa County, Inc. (Executive Director Kim Fraley; headquartered at 207 Hospital Dr NE, Fort Walton Beach, alongside sister 65-bed non-profit facility Crestview Manor, AHCA License #AL5649 at 603 N Pearl St, Crestview), Twin Cities Pavilion provides an essential, mission-driven residential care safety net for low- and modest-income seniors in the Niceville-Valparaiso Twin Cities area. The single-story campus sits just 2.2 miles southeast of HCA Florida Twin Cities Hospital (2190 Hwy 85 N, Niceville, FL 32578) and 4.5 miles east of the 96th Medical Group (Eglin AFB Hospital).

Twin Cities Pavilion delivers 24-hour personal care supervision, assistance with bathing, dressing, grooming, and mobility, medication management, three home-cooked daily meals, housekeeping and personal laundry, social and recreational activities, and coordinated home health and end-of-life hospice care so seniors can age in place with dignity. As Okaloosa County's flagship non-profit public-partnership assisted living facility, Twin Cities Pavilion accepts Florida Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) waivers, Optional State Supplementation (OSS), VA Aid & Attendance benefits, and affordable private-pay rates (acceptsMedicaid: true) in direct coordination with the Northwest Florida Area Agency on Aging (NWFLAAA — PSA 1, 1-866-531-8011) and DOEA CARES.