| NPI | 1063925444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNE LAURE FONTAINE Owner/Administrator 786-399-7098 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL13046) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |