| NPI | 1659512721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEL CARMEN JEREZ Mgrm 786-547-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL L07000062435) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL L07000062465) |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL L07000062465) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL L07000062435) | |
| 385H00000X Respite Care (Licence: FL L07000062435) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL L07000062435) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-24 |