| NPI | 1225135353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHOQUETTE Collections Manager 863-767-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: FL TLF7006096) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: FL TLF70090971) |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: FL TLF7006096) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL TLF7006096) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 100045445) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-06-02 |