| NPI | 1386868594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUYER Administrator 727-821-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL 800016243) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL 800016243) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |