| NPI | 1033696232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAINE HIBBERT Owner/Administrator 954-709-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13170) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |