| NPI | 1952813289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY BANCROFT Chief Accounting Officer 941-758-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-02-01 |