| NPI | 1760844872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIE ALVIRA TATE Administrator 561-312-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |