Organization
CASA BONITA ASSISTED LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEE MAYOR (OWNER)
(305) 878-4535
Entity
Organization
Contact information
Practice address
931 NE 17TH TER, HOMESTEAD, FL 33033-4633
(305) 878-4535
(130) 543-3818
Mailing address
931 NE 17TH TER, HOMESTEAD, FL 33033-4633
(305) 878-4535
(130) 543-3818
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004223700
—
FL
Enumeration date
12/19/2011
Last updated
12/19/2011
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