| NPI | 1073794475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GONGAR President 786-286-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11119) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-07-31 |