Organization
CASA SOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID INTERIAM (OWNER)
(305) 473-9310
Entity
Organization
Contact information
Practice address
441 E 35TH ST, HIALEAH, FL 33013-3029
(305) 479-3910
Mailing address
441 E 35TH ST, HIALEAH, FL 33013-3029
(305) 479-3910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142264200
—
FL
Enumeration date
05/05/2008
Last updated
05/05/2008
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