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 |