| NPI | 1255870804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA ALLEN Administrator 954-599-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12965) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |