| NPI | 1720281066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ARAICA RODRIGUEZ President 786-991-4758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8365) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 8365) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-01-22 |