| NPI | 1124214176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA V REYES Owner 305-498-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11201) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2014-06-17 |