| NPI | 1750741161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILSE J. GUEVARA Owner 786-312-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11264) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-03-17 |