| NPI | 1619267580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY PINDER Registered Nurse 352-369-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 691111195) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL 691111196) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |