| NPI | 1174650287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODALYS CORDERO Administrator 954-433-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |