| NPI | 1669925590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE JOHN President 954-668-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL 3112112) |
| Additional Taxonomies | 261Q00000X (Licence: FL 3112112) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL 3112112) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |