| NPI | 1124226964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M WALCZAK CEO 561-627-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-059-1719) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |