| NPI | 1770855934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JAMES JACKSON Occupational Therapist 850-832-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OT11464) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |