| NPI | 1467879437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKI KANETI Administrator 954-600-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12470) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |