| NPI | 1801059001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA C LEON Owner 305-279-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905135) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |