| NPI | 1831307172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRICEL GONZALES Administrator 305-297-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905699) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |