| NPI | 1336263581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MILLAN Administrator 305-485-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 9042) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |