| NPI | 1730428806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN FUNDORA Owner 786-380-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11641) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-05-23 |