MI CASA ADULT LIVING FACILITY HOME, INC
Nursing at Saint Augustine Rd, Jacksonville, FL

License number
Florida 11548
Category
Nursing
Type
Assisted Living Facility
Owner
Name: JESUS R CASTILLO
Title: OWNER
Phone: (904) 739-3927
Address
Address
6856 Saint Augustine Rd, Jacksonville, FL 32217
National Provider ID: 1205070539
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MI CASA ADULT LIVING FACILITY HOME, INC at bizstanding.com

MI CASA ADULT LIVING FACILITY HOME INC

6856 St Augustine Rd, Jacksonville, FL 32217

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Sep 8, 2008
Inactive since:
Feb 19, 2010
State ID:
P08000082432
Business type:
Florida Profit Corporation
Jesus Rsr Castillo, 6856 St Augustine Rd, Jacksonville, FL 32217 (Physical)
Agent:
Jesus Castillo,6856 St Augustine Rd, Jacksonville, FL 32217 (Physical)
FEI/EIN:
26-3506093

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