| NPI | 1851647499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKIS VALDES Owner 786-838-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 9210) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-03-17 |