| NPI | 1013350560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE HARDEN Administrator 561-574-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906117) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |