| NPI | 1700253648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA ASTRA NEMES PT A 727-485-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PTA25727) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |