| NPI | 1376813139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J GUTIERREZ President 786-216-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 232391) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 232391) |
| 385H00000X Respite Care (Licence: FL 232391) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |