| NPI | 1245936293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE G LEWIS Operations Manager 239-206-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251300000X Local Education Agency (LEA) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-08-09 |