| NPI | 1902897754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TABOR Director Of Accounting Services 941-552-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10453) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL SNF130471031) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |