Organization
LA CASA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH KRODEL (ADMINISTRATOR)
(321) 449-8880
Entity
Organization
Contact information
Practice address
220 N GROVE ST, MERRITT ISLAND, FL 32953-3444
(321) 449-8880
(321) 806-4500
Mailing address
220 N GROVE STREET, MERRITT ISLAND, FL 32953
(321) 449-8880
(321) 806-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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