| NPI | 1336532936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN PELLMAN Director Of Rehab 941-312-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OTA11955) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |