NPI | 1700021599 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL WHITNEY JEWETT Physician Volunteer 904-284-4078 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL LL598) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2008-12-08 |