| NPI | 1023358504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBETH BASNUEVO President 786-234-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10885) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 10885) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-06-02 |