| NPI | 1376867846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED A AHMED Director 407-625-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL ARNP29988912) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL ARNP29988912) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-12-05 |