Organization
SAEJCA'S CASTLE LLC II
Active
Parent organization
SAEJCA'S CASTLE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAEJCA'S CASTLE LLC
Authorized official
MS. EVELYNE LAURE FONTAINE (OWNER/ADMINISTRATOR)
(786) 399-7098
Entity
Organization
Contact information
Practice address
761 NW 203RD ST, MIAMI, FL 33169-2302
(305) 974-4511
(786) 657-2955
Mailing address
1340 NE 179TH ST, NORTH MIAMI BEACH, FL 33162-1316
(786) 399-7098
(786) 657-2955
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL13046
FL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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