| NPI | 1659511160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK A LEVY Owner 407-408-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PY 5702) |
| Additional Taxonomies | 251S00000X (Licence: FL PY 5702) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-03-30 |