| NPI | 1710549019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNDRA CHINTALA Administrator 561-469-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |