| NPI | 1902568322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J SMAAGE Director Of Health Services 407-543-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-03-07 |