| NPI | 1386625036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL JOHNSON Executive Director 305-891-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1576096) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-01-30 |