| NPI | 1497965511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELMA PONS Administrator 305-649-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 8355) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |