Organization
CAZEAU ADULT FAMILY CARE HOME
Active
Other names
Cazeau Adult Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHELET CAZEAU RN, BS, CWCN (ADMINISTRATOR)
(551) 216-5300
Entity
Organization
Contact information
Practice address
724 CHINA BERRY CIR # 1, DAVENPORT, FL 33837-3908
(551) 216-5300
Mailing address
724 CHINA BERRY CIR # 1, DAVENPORT, FL 33837-3908
(551) 216-5300
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103536700
—
FL
Enumeration date
11/25/2019
Last updated
11/25/2019
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