| NPI | 1043405079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUYTELLE GAINZA Admin. 954-474-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 229032) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL 229032) |
| 385H00000X Respite Care (Licence: FL 229032) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |