| NPI | 1962890285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE J RODRIGUEZ Manager 305-370-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12605) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |