| NPI | 1104922715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE R HERNANDO Owner 305-868-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1372096) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-02-07 |