| NPI | 1912143652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR RODRIGUEZ President 786-298-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11495) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |