Organization
CASANOVA ALF#5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA ALICIA CASANOVA OWNER (OWNER)
(305) 343-9971
Entity
Organization
Contact information
Practice address
6261 NW 110TH ST, HIALEAH, FL 33012-2348
(305) 343-9971
(305) 231-9212
Mailing address
6261 NW 110TH ST, HIALEAH, FL 33012-2348
(305) 343-9971
(305) 231-9212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11999
FL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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