Organization
MI CASA SU CASA SENIORS VILLAS
Active
Other names
HOME CARE VILLAS
Organization subpart
No
Provider details
NPI number
Authorized official
OTASHA SHEMIKA SMALL (ADMIN)
(954) 860-1804
Entity
Organization
Contact information
Practice address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 344-0063
(754) 229-8852
Mailing address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 344-0063
(754) 229-8852
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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