| NPI | 1255601142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA JO PACE Owner 305-343-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 302R00000X Health Maintenance Organization | |
| 261Q00000X | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |