NPI | 1083070783 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSIDY BANCROFT Controller 941-758-4745 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 520052) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2018-01-09 |