| 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 |