| NPI | 1326433814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANTHONY OSPINA Administrator 786-258-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12639) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL AL12639) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |