| NPI | 1336142538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A YOUNG Nursing Home Administrator 904-724-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL snf1648096) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |