| NPI | 1245543347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE H RATHMANNER Cota/L 863-382-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OTA10655) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-07-17 |