NPI | 1356550107 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMAS M RODRIGUEZ President 786-663-4392 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10737) |
Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: FL 10737) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |