Organization
CASANOVA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA ALICIA CASANOVA ADMON (ADMINISTRATOR)
(305) 343-9971
Entity
Organization
Contact information
Practice address
1131 W 53RD TER, HIALEAH, FL 33012-2428
(305) 343-9971
(305) 231-9212
Mailing address
1131 W 53RD TER, HIALEAH, FL 33012-2428
(305) 343-9971
(305) 231-9212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9707
FL
Other
Enumeration date
05/16/2007
Last updated
08/13/2007
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