| NPI | 1770595738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELVA GONZALEZ Owner 786-385-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF10020961) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-07-31 |