| NPI | 1265768865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANFORD SPENCER Occupational Therapist 850-207-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OT11029) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |