| NPI | 1174812341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTINO FERNANDEZ Owner Administrator 305-761-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FM AL-11969) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |