| NPI | 1952711608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEN MARIE CLARK Occupational Therapist Assistant 941-920-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OTA 12220) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2014-05-03 |