NPI | 1285674143 |
---|---|
Doing Business As | THE PAVILION AT ST. LUKE 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 455202) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-08-22 |