| NPI | 1659364438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS A. BAIRD Administrator/Owner 386-257-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF 1645096) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-07-09 |