NPI | 1194548149 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVA WILLIAMS Administrator 954-955-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-11-06 |
Last Update Date | 2024-11-06 |