Organization
NUESTRA CASA II INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA LOPEZ (PRESIDENT)
(561) 541-1387
Entity
Organization
Contact information
Practice address
2832 GIULIANO AVE, LAKE WORTH, FL 33461-3725
(561) 541-1387
Mailing address
2832 GIULIANO AVE, LAKE WORTH, FL 33461-3725
(561) 541-1387
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-12032
FL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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