| NPI | 1386958809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEEN FARUQUE Vice President 239-225-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL ME95171) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2021-04-28 |