| NPI | 1669882692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D. MITCHELL Member 850-386-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 1330096) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |