| NPI | 1730580648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITE VALCIN-COTIN Owner/Administrator 772-985-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: FL 6906704) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |