| NPI | 1063759371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY REBECCA NEUBAUER Speech Language Pathologist 850-814-3183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SA11072) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |