| NPI | 1871937433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMPARO MARGOT DIERKING Administrator 954-274-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 12232) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |