Organization
NUESTRA CASA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRADO BARRIO (ADMINISTRATOR)
(561) 252-6399
Entity
Organization
Contact information
Practice address
1906 N A ST, LAKE WORTH, FL 33460-6002
(561) 493-1785
Mailing address
1906 N 'A' STREET, LAKE WORTH, FL 33460
(561) 493-1785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11471
FL
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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