| NPI | 1902863608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE L HERNANDEZ Owner / Director 954-394-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905979) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |