| NPI | 1689893638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY WREN GREEN Certified Therapeutic Recreation Sp 727-398-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-07-30 |