| NPI | 1386312171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA S NICHOLSON Administrative 321-914-6941 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |