| NPI | 1447417852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN WARD Administrator 772-567-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL SNF1152096) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-08-30 |