| NPI | 1467926022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE SCAVELLA President 772-226-5059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |