| NPI | 1306099742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURTLE SUCKIE Administrator/Owner 305-653-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 110340) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2009-04-08 |