| NPI | 1972817534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GONZALEZ Administrator 786-312-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10840) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2019-06-11 |