| NPI | 1508115957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONI S KOMIE Licensed Clinical Social Worker 954-929-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SW2806) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |