| NPI | 1023475480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M FAGUNDO Owner/Admin. 786-504-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12777) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |