| NPI | 1104175793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RODRIGUEZ Administrator 786-267-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-12215) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |