| NPI | 1992009237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LIDIA LAZO Owner/Administrator 305-888-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL713) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |