| NPI | 1306151071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GONGAR President 786-282-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11715) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL11715) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2020-07-31 |