| NPI | 1518138122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY IVELISSE GUERRERO Nurse Practitioner 772-342-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ARNP9202595) |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2008-03-22 |