| NPI | 1912285511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKI KANETI Administrator 954-600-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-9347) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2011-07-30 |