| NPI | 1750642005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MAY GILLESPIE Administrator 305-778-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2026-02-24 |