NPI | 1295153716 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY D MANDELKORN President 954-661-3673 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL PY 8957) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-07-24 |