| NPI | 1184013690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMANNY A HERRERA Administrator 305-512-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: FL 9305) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-01-05 |