| NPI | 1568733020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS A MANFREDI Cota/L 850-819-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL FL OTA 303) |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2012-01-15 |