| NPI | 1093136566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE EDWARDS Owner 954-576-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 30211660) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |