| NPI | 1366687154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A URBANO President 3045-245-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11466) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |