| NPI | 1588022149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEREMY JORDAN Manager 786-999-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10811) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |