| NPI | 1811258254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATENA BROUSSARD Owner 305-788-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 230393) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-09-08 |