| NPI | 1538313416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY TRAVARIS SPRADLEY Onwer/ Administrator 786-200-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11123) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2009-03-25 |