| NPI | 1780769711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILSON President 954-987-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0293) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0293) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-11-14 |