Organization
CASA DULCE CORAZON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA REYES (OWNER./ADMINISTRATOR)
(786) 273-8332
Entity
Organization
Contact information
Practice address
11475 QUAIL ROOST DR, MIAMI, FL 33157-6501
(305) 971-8071
Mailing address
11475 QUAIL ROOST DR, MIAMI, FL 33157-6501
(305) 971-8071
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141844100
—
FL
01
—
AL9827
STATE LICENSE
FL
Enumeration date
05/07/2009
Last updated
05/07/2009
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