| NPI | 1821381039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINA I PAVON Administrator 305-635-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9376) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |