| NPI | 1679781819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO CONCEPCION Administrator 305-259-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 10250) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |