NPI | 1194942615 |
---|---|
Entity Type | Organization |
Authorized Contact | ANABEL ALCANTARA Owner 786-642-1375 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10129) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL10913) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-11-10 |