| NPI | 1710940358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S BENCH Authorized Representative 941-758-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 880066) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-06-27 |