| NPI | 1962059527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA A MARINOFF Manager/Owner 561-990-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2021-10-06 |