| NPI | 1336104975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANELLE NATHEY MCDONALD Business Office Manager 904-714-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |