| NPI | 1508137662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LINDSEY KATTKE Occupational Therapy Assistant 321-514-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OTA10565) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |