NPI | 1194770420 |
---|---|
Doing Business As | CORAL TRACE HEALTH CARE |
Entity Type | Organization |
Authorized Contact | KAROLE Y. HAMILTON Manager 239-772-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF11040961) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2013-04-06 |