| NPI | 1780900423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MCDONALD Director Of Nursing 954-318-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-07-21 |