| NPI | 1740645282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE BOYER President 904-738-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: FL 207Q0000X) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |