| NPI | 1336357672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERALDO CHAVIANO Administrator 305-861-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 7750) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |