| NPI | 1457380693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WATSON Administrator 850-224-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 1354096) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-12 |