| NPI | 1093836207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE OCHS Rehab Program Manager 863-607-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PTA20084) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |