NPI | 1780088385 |
---|---|
Doing Business As | FAIRFIELD VILLAGE REHABILITION |
Entity Type | Organization |
Authorized Contact | KEVIN RAY MADDRON Senior Vice President 407-540-7519 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2015-NCF-UT000437) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2015-08-12 |