| NPI | 1477833051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E GRAHAM Owner/Administrator 786-487-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906398) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |