| 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 |