| NPI | 1972874139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GRECCO Occupational Therapist Registered 813-293-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OT14842) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |