| NPI | 1659496511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JAMES CASTLEBERG Owner 352-728-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF12910961) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-01-16 |