| NPI | 1871636902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ORLANDO HERRERA Administrator 786-470-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10112) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |