| NPI | 1023222692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS VILLARREAL Owner 786-683-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al10201) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-10-25 |