| NPI | 1154604312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL DIAZ Operator 239-437-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9183) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-08-07 |