| NPI | 1275985087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYSS CORDOVA Owner/Admin. 305-979-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9989) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |