| NPI | 1568673465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANKYS LAZO VP 786-344-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10084) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL10084) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-05-10 |