| NPI | 1538260039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH WIESEL Administrator 305-932-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1384095) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |