| NPI | 1962716522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS HERNANDEZ President 305-742-4738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10841) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |