| NPI | 1205028305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDARDO GOMEZ President, Owner 786-316-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10892) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |