| NPI | 1639445604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLE CALVAJAR President 305-279-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 9191) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |