| NPI | 1629438288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA EDELSA IZNAGA Owner 786-357-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7958) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |