| NPI | 1992748628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY CHURCHILL CEO And President 239-415-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130471008) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-09-20 |