| NPI | 1053858662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTO HERNANDEZ Pesident 786-389-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL rn9240148) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |