| NPI | 1821047788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BLOOMER Administrator 407-523-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130470966) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |