| NPI | 1871004630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN GOLDENBERG Administrator 305-397-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12991) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-03-13 |