NPI | 1871610626 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY K. CONLEY Business Office Manager 727-446-0581 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2007-03-26 |
Last Update Date | 2022-07-21 |