NPI | 1518959667 |
---|---|
Doing Business As | CLIFFORD CHESTER SIMS STATE VETERANS NURSING HOME |
Entity Type | Organization |
Authorized Contact | WILLIAM G PUCKETT Program Director 727-518-3202 |
Organization Subpart ? | No |
Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL SNF130471027) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL SNF130471027) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2020-08-22 |