Organization
SAN CAYETANO HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLIDYS PENA (PRESIDENT)
(305) 221-7733
Entity
Organization
Contact information
Practice address
3525 SW 104TH CT, MIAMI, FL 33165-3717
(305) 221-7733
Mailing address
3525 SW 104TH CT, MIAMI, FL 33165-3717
(305) 221-7733
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140753800
—
FL
Enumeration date
06/15/2007
Last updated
08/29/2008
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