| NPI | 1811391691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VETA KEYS Registered Nurse 863-602-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 202364) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |