| NPI | 1053720268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS PIEDRA GOMEZ Owner 786-241-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10173) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-02-21 |