| NPI | 1285798082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA FISK Dir Or Accounting 727-723-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF12510961) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-04-27 |