| NPI | 1104814979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CABEZAS Executive Director 305-252-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1515096) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL snf1515096) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL snf1515096) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-01-07 |