| NPI | 1437572724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L LARUE Physical Therapist Asst 954-612-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PTA20862) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |