| NPI | 1801097639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGLA LABRADOR Owner 786-229-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9799) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 9799) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-02-24 |