| NPI | 1528283322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE SMITH Director Of Administative Services 239-369-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL SNF11120951) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |