| NPI | 1629439260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VICTOR SHARPE Member 904-783-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL ME51340) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-11 |