Organization
CORAL VILLA ADULT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLANGE MARIE CASTRO (OWNER)
(786) 355-2759
Entity
Organization
Contact information
Practice address
2860 SW 122 AV, MIAMI, FL 33175
(305) 226-9301
(305) 226-9301
Mailing address
2860 SW 122 AV, MIAMI, FL 33175
(305) 226-9301
(305) 226-9301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141812200
—
FL
05
—
684951200
—
FL
Enumeration date
10/02/2006
Last updated
08/21/2012
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