| NPI | 1124234083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISISE E MOLINA President 786-293-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8674) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 8674) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |