| NPI | 1629336359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CAVENER Respiratory Therapist 850-776-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL TT3185) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |