| NPI | 1881828630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO GUTIERREZ CFO 954-292-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 231028) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |