| NPI | 1487182804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON ROY LATTERY 0 Wner 305-687-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8582) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |