| NPI | 1467091116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZMIN PEREZ Administrator 239-333-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2019-12-29 |