| NPI | 1255360699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALCZAK CEO 561-627-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0191) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TN 0191) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |