| NPI | 1033498746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKI KANETI Administrator 954-923-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL al5026) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |