| NPI | 1285679597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A OWENS-WICKER Administrator 727-863-5488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL SNF10460962) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-04-30 |