Organization
CASA CORDIAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH DE LOS SANTOS (RN)
(813) 500-2329
Entity
Organization
Contact information
Practice address
12258 BLUE PACIFIC DR, RIVERVIEW, FL 33579-1803
(813) 500-2329
Mailing address
12258 BLUE PACIFIC DR, RIVERVIEW, FL 33579-1803
(813) 500-2329
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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