- Enrollment id
- O20091216000201
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1013922327
- Multiple npi flag
- N
- Ccn
- 105827
- Associate id
- 1759421175
- Organization name
- FINNISH AMERICAN REST HOME, INC
- Doing business as name
- FINNISH AMERICAN VILLAGE
- Incorporation date
- 1970-11-24
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- FINNISH-AMERICAN VILLAGE
- Address line 1
- 1800 SOUTH DR
- City
- LAKE WORTH
- State
- FL
- Zip code
- 334616133