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Organization

CASANOVA ALF #3

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NORMA ALICIA CASANOVA ADMON (ADMINISTRATOR)
(305) 343-9971
Entity
Organization

Contact information

Practice address
2461 W 72ND PL, HIALEAH, FL 33016-6518
(305) 557-5620
(305) 231-9212
Mailing address
2461 W 72ND PL, HIALEAH, FL 33016-6518
(305) 557-5620
(305) 231-9212

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9749
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690288000
FL
Enumeration date
05/16/2007
Last updated
05/30/2008
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