| NPI | 1366848087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA NELSON Certified Nurse 386-518-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 229833) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |