| NPI | 1962829671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISEL M. LOPEZ Owner/Admin 305-763-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12396) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2017-03-17 |