Organization
MI CASITA ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA OSORIO (FACILITY ADMINISTRATOR)
(407) 328-0811
Entity
Organization
Contact information
Practice address
630 STALLINGS AVE, DELTONA, FL 32738-9206
(407) 328-0811
(407) 328-4850
Mailing address
630 STALLINGS AVE, DELTONA, FL 32738-9206
(407) 328-0811
(407) 328-4850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11911
FL
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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