Organization
CASA DEL CAMPO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILDA R ACOSTA (OWNER)
(786) 236-1864
Entity
Organization
Contact information
Practice address
22455 SW 182ND AVE, MIAMI, FL 33170-3603
(305) 242-7639
(305) 242-7639
Mailing address
22455 SW 182ND AVE, MIAMI, FL 33170-3603
(305) 242-7639
(305) 242-7639
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13630
AHCA
FL
Enumeration date
08/17/2021
Last updated
08/23/2022
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