| NPI | 1609869825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYM HARRIS Administrator 863-688-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130470964) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |