| NPI | 1316040280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WHALEN Chief Executive Officer 904-308-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 1517096) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-05-12 |