| NPI | 1346247814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CAROL ROOP Director Of Reimbursement 863-324-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3230) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |