| NPI | 1790218220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLINY DE LA NUEZ Owner/Admin. 786-610-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12992) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |