| NPI | 1104087329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO HERRERA President 786-573-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10152) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |