| NPI | 1003243767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCELISMA MESA Administrator 305-972-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL 9236) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |