| NPI | 1174485064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMELIA BLAIZE Administrator 786-256-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-11-29 |
| Last Update Date | 2025-11-29 |