| NPI | 1043479140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CECILIA HERNANDEZ President 786-515-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905079) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-03-13 |