| NPI | 1760804280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE ASPACIO LOCHE Administrator 786-501-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL AL10826) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |