| NPI | 1942417316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA R COOPER Controller 850-263-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: FL 4172) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |