| NPI | 1164844395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO JIMENEZ Administrator/Owner 786-624-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12450) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |