| NPI | 1033532726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES DANIELLE MILLS Member 850-591-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |