| NPI | 1992890099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY G ESCOBAR Administrator 305-347-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1255096) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-02-09 |