| NPI | 1902135288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN M ZAMOT Owner 787-283-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |