| NPI | 1447333463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILSON President 954-987-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2490) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-11-14 |