| NPI | 1639387822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYAMY MARTINEZ Administrator 305-512-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 9498) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |