| NPI | 1942741921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRINA MARIE JOSEPH Speech Language Pathologist 904-403-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SA8479) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL SA8479) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |