| NPI | 1780683854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DELRIO Administrator 239-592-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 105790) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-01-21 |