| NPI | 1841574662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDY CRUZ Administrator 305-698-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 10556) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |