| NPI | 1609082619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD VERA President 305-207-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10678) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 10678) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-01-28 |