| NPI | 1548501752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN A VAZQUEZ MARTINEZ Owner Of The Home 787-847-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |