| NPI | 1992095145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO FLORES President 239-247-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11909) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |