| NPI | 1801059407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENTE B. SOTO Owner 786-502-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11246) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-04-16 |