| NPI | 1821473000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE HARVEY A RN P C 727-218-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL ARNP9167043) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL ARNP9167043) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL ARNP9167043) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |