| NPI | 1235412164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEL CARMEN LOPEZ President 305-485-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 9180) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2014-12-10 |