| NPI | 1962812545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. HEHN Executive Director 863-577-6033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL AL4790) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |