| NPI | 1194975672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIMARA CARRILLO Owner/Administrator 786-294-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11364) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-12-09 |