| NPI | 1003817636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMNIE C BENNETT Administrator 561-686-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF16290951) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL8367) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |