| NPI | 1578712717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL BOTERO Team Leader 954-970-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL OTA 10427) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL OTA 10427) |
| 314000000X Skilled Nursing Facility (Licence: FL OTA 10427) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |