| NPI | 1558464750 |
|---|---|
| Former Legal Business Name | THE MANOR |
| Entity Type | Organization |
| Authorized Contact | JAMES A DONALDSON CPO/Cso 850-304-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1030095) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL SNF1030095) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-01-11 |