NPI | 1972785095 |
---|---|
Doing Business As | EXCELLENT LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | ABEL ESCALANTE President 786-385-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9114) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2007-11-30 |