| NPI | 1366805764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA HIDALGO VICENCIO Owner/ Administrator 386-742-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12779) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |