| NPI | 1720612690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES E BRACHO General Manager 321-337-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-29 |