| NPI | 1316414287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARICE V DUCTANT Owner 305-332-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |