| NPI | 1831550847 |
|---|---|
| Former Legal Business Name | GREEN STREET ALF, CORP |
| Entity Type | Organization |
| Authorized Contact | CARLOS E CABALLERO Owner/Administrator 786-274-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12805) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |