Organization
ANDREA CAINE
Active
Other names
sweet home at last assisted living facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MARIE CAINE LPN (OWNER/ADMINISTRATOR)
(386) 532-2392
Entity
Organization
Contact information
Practice address
1580 DRAYTON AVE, DELTONA, FL 32725-5671
(386) 532-2392
Mailing address
1580 DRAYTON AVE, DELTONA, FL 32725-5671
(386) 532-2392
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142937000
—
FL
Enumeration date
04/30/2008
Last updated
06/25/2008
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