| NPI | 1962616557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA PEREZ President 305-652-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5787) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 5787) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-01-28 |