| NPI | 1205834413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI M WALKER Administrator 727-546-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1252096) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |