Organization
CALUSA ADULT CARE I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DIAZ (OWNER)
(786) 493-6220
Entity
Organization
Contact information
Practice address
13871 SW 112TH ST, MIAMI, FL 33186-3266
(786) 493-6220
(305) 225-1289
Mailing address
13871 SW 112TH ST, MIAMI, FL 33186-3266
(786) 493-6220
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 8227
FL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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