| NPI | 1174349625 |
|---|---|
| Former Legal Business Name | NYSPYER2 SKILLED NURSING SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | SHARON DENISE FORT Licensed Practical Nurse 352-246-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |