| NPI | 1912023847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN DASILVA Program Manager 561-852-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 10427) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |