| NPI | 1962610204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL CAMACHO Administrator 786-444-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 10581) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-09-13 |