| NPI | 1134469018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA THOMPSON Administrator 954-316-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905810) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |