| NPI | 1487472650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADIRA CONCEPCION Mgr 727-534-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |