Organization
CORAL WAY SENIOR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIA CANCINO (PRESIDENT)
(305) 551-1439
Entity
Organization
Contact information
Practice address
2451 SW 143RD CT, MIAMI, FL 33175-2479
(305) 551-1439
Mailing address
2451 SW 143RD CT, MIAMI, FL 33175-2479
(305) 551-1439
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142880200
—
FL
Enumeration date
12/06/2007
Last updated
01/28/2012
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