| NPI | 1700256047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONELL THOMAS PETERS Occupational Therapist 954-655-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 4771) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |