| NPI | 1720589187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HERNANDEZ Owner 786-775-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |