| NPI | 1073722393 |
|---|---|
| Doing Business As | MY GRANDFATHER HOME CARE |
| Entity Type | Organization |
| Authorized Contact | MIGDALIA LOPEZ Administrator 786-302-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8388) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-14 |