Provider Demographics
NPI:1891092599
Name:CASA SALCINES A.L.F.II, INC.
Entity Type:Organization
Organization Name:CASA SALCINES A.L.F.II, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BERTA
Authorized Official - Middle Name:SALCINES
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-256-1765
Mailing Address - Street 1:8911 SW 157TH ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1937
Mailing Address - Country:US
Mailing Address - Phone:305-256-1765
Mailing Address - Fax:305-256-1766
Practice Address - Street 1:8911 SW 157TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1937
Practice Address - Country:US
Practice Address - Phone:305-256-1765
Practice Address - Fax:305-256-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11949310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility