| NPI | 1649393497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GREENE Area Director 863-559-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SA5976) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |