| NPI | 1861630105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY HULETT-JOHNSON President 407-234-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PY6910) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |