| NPI | 1518201060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN HEISE Occupational Therapist Assit. 352-694-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL ota224z00000x) |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2012-11-22 |