| NPI | 1790174589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RICKETTS Adminisstrator 786-390-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12595) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |