| NPI | 1427347582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE WEGENER Owner/A RN P C 727-505-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL ARNP1062972) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-06-30 |