| NPI | 1760728240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M. HENDERSON Clinical Psychologist 727-422-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PY8343) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-04-27 |