| NPI | 1861796005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGLA RODRIGUEZ Owner 772-985-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL Al11868) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |