| NPI | 1114132305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIDA DIAZ President 786-586-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8352) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL8352) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2018-04-11 |