Organization
NUESTRA CASA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRADO BARRIO (ADMINISTRATOR)
(561) 252-6399
Entity
Organization
Contact information
Practice address
1906 N A ST, LAKE WORTH, FL 33460-6002
(561) 252-6399
Mailing address
1906 N A ST, LAKE WORTH, FL 33460-6002
(561) 252-6399
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AL11471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008794500
—
FL
Enumeration date
03/12/2014
Last updated
03/12/2014
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