| NPI | 1649668716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHA MOHAMED HAJI JAMALDIN Cota/L 904-899-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 13399) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |