| NPI | 1740276385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C DIPIETRO Administrator 727-527-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1499095) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-07-02 |