| NPI | 1134410210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO LUCERO Administrator 786-376-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 11396) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |