Organization
CASA DE CAMPO ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILEIDYS JACOMINO MARTINEZ (OWNER)
(305) 479-0022
Entity
Organization
Contact information
Practice address
4173 NE 20TH ST, HOMESTEAD, FL 33033-5357
(786) 601-9299
(786) 601-9299
Mailing address
4173 NE 20TH ST, HOMESTEAD, FL 33033-5357
(786) 601-9299
(786) 601-9299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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