Provider Demographics
NPI:1619117553
Name:CASA SALCINES A.L.F. INC.
Entity Type:Organization
Organization Name:CASA SALCINES A.L.F. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCINES JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-252-2465
Mailing Address - Street 1:9220 SW 164TH ST
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3455
Mailing Address - Country:US
Mailing Address - Phone:305-252-2465
Mailing Address - Fax:305-252-3869
Practice Address - Street 1:9220 SW 164TH ST
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-3455
Practice Address - Country:US
Practice Address - Phone:305-252-2465
Practice Address - Fax:305-252-3869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11524310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility