| NPI | 1558458273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J MCGILVREY President 239-337-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-11-24 |