| NPI | 1811106586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE SARK President 305-255-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9994) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 9994) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |