| NPI | 1558639021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA CASTANEDA Administrator 305-220-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12024) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |