NPI | 1073969317 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUNA DEVELIS CEO 954-515-2104 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906841) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-05 |