| NPI | 1518941582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN SHARPLESS Director Of Accounting 352-874-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF10600961) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-10-08 |