Organization
CASA MARISA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA DOMINGUEZ (PRESIDENT)
(786) 478-8888
Entity
Organization
Contact information
Practice address
7435 SW 23RD ST, MIAMI, FL 33155-1416
(305) 265-9797
Mailing address
7435 SW 23RD ST, MIAMI, FL 33155-1416
(305) 265-9797
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8366
FL
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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