| NPI | 1154594083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMASO BELLO Administrator 786-619-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10643) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |