| NPI | 1851321087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA PEREZ Administrator 850-436-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-01-04 |