| NPI | 1124323670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVARIS SPRADLEY Mgr 786-200-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11123) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |