| NPI | 1467668467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN C MENDOZA President 305-221-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8858) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 8858) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |