| NPI | 1689627424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELVA GONZALEZ CFO 786-385-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100218) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-07-31 |