Organization
CASSIE'S CASTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURISTON GEORGE SIMMS (OWNER)
(561) 719-0263
Entity
Organization
Contact information
Practice address
208 NATCHEZ TRACE AVE, ROYAL PALM BEACH, FL 33411-1261
(561) 204-2800
(561) 204-2800
Mailing address
208 NATCHEZ TRACE AVE, ROYAL PALM BEACH, FL 33411-1261
(561) 204-2800
(561) 204-2800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009400300
—
FL
Enumeration date
11/03/2010
Last updated
01/14/2015
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