Organization
CASA VIVE GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SYLVIA SANDERSON (OWNER)
(954) 242-5805
Entity
Organization
Contact information
Practice address
6950 NW 18TH CT, MARGATE, FL 33063-2476
(954) 242-5805
Mailing address
6950 NW 18TH CT, MARGATE, FL 33063-2476
(954) 242-5805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692984296
LICENSE
FL
Enumeration date
06/12/2012
Last updated
06/12/2012
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