| NPI | 1548636467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET OTT Administrator 352-409-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 70090977) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 283X00000X Rehabilitation Hospital (Licence: FL 12406) | |
| 283X00000X Rehabilitation Hospital (Licence: FL 70090977) | |
| 310400000X Assisted Living Facility (Licence: FL AL12406) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL 12406) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL AL12406) | |
| 385H00000X Respite Care (Licence: FL AL12406) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2017-11-28 |