| NPI | 1508253626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOALDO CABALLERO Owner 786-587-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL ARNP9358460) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-17 |