| NPI | 1568812741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANET GOMEZ Owner/Admin 786-301-8392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12853) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |