| NPI | 1255627402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY LEWIS Owner/Administrator 786-356-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12011) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |