| NPI | 1043233778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON TRUDEAU Administrator 863-291-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL 68-4852) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-04-27 |