| NPI | 1366612814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HUNTER Administrator 941-752-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-07-15 |