| NPI | 1194167668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA KAGAN Administrator 954-782-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11555) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |