| NPI | 1194032250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN D SAVOV Manager Member 239-430-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL ME99799) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL ME99799) |
| 314000000X Skilled Nursing Facility (Licence: FL ME99799) | |
| 315D00000X Hospice, Inpatient (Licence: FL ME99799) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |