| NPI | 1750370656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SIMPSON D.O.N 352-728-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 7250000105) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-06-19 |