| NPI | 1548652977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA MARIE VELAZCO Owner/Admin. 786-217-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5235) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2016-12-22 |