| NPI | 1689943458 |
|---|---|
| Doing Business As | SHOAL CREEK REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH USSERY VP 407-571-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130471012) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2023-11-27 |