| NPI | 1235171810 |
|---|---|
| Doing Business As | LOCUST GROVE RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH CONTE Chief Operating Officer 407-571-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 123402) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |