| NPI | 1992181812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R MADDRON Sr Vice President 407-540-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0964) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SC NCF-0964) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-11-04 |