| NPI | 1538192208 |
|---|---|
| Doing Business As | SOUTHLAKE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DION R. SENA Managing Member 305-759-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF13060961) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-12-01 |