| NPI | 1568999076 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISET RODRIGUEZ Administrator 786-210-9669 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13007) | 
| Enumeration Date | 2017-05-15 | 
| Last Update Date | 2023-02-22 |