| NPI | 1215926910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EUGENE STACEY President 305-326-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1478096) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-09-10 |