| NPI | 1740770551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS GARRARD Manager 863-226-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0981) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-06-22 |