| NPI | 1629218813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA PEREZ Owner 786-218-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10939) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL al10939) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2011-08-08 |