| NPI | 1811009442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON G BRWON V.P./N.H.Administrator 904-798-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1079096) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |