| NPI | 1023546355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER M FERNANDEZ Owner/Admin. 239-304-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13014) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |