| NPI | 1902159320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE E CLAY Home Health/ Medical Assistant 407-394-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |