| NPI | 1982812350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHE WEBSTER Administrator 786-430-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: al 10444) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |