| NPI | 1235496522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENI CORCHO AREVALO Owner 786-725-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-09-30 |