| NPI | 1053693382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIEL REYES Administrator 786-344-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12009) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |