MI CASITA ALF INC.
Nursing at Stallings Ave, Deltona, FL

License number
Florida AL11911
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MRS. GLORIA OSORIO
Title: FACILITY ADMINISTRATOR
Phone: (407) 328-0811
Address
Address
630 Stallings Ave, Deltona, FL 32738
National Provider ID: 1700174463
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MI CASITA ALF, INC

630 Stallings Ave, Deltona, FL 32738

Industry:
Business Services at Non-Commercial Site, Mfg Surface Active Agents Individual/Family Services
Registration:
Jan 21, 2010
State ID:
P10000005902
Business type:
Florida Profit Corporation
President:
Jorge M Oller (President), 630 Stallings Ave, Deltona, FL 32738 (Physical)
Agent:
Jorge Oller,630 Stallings Ave, Deltona, FL 32738 (Physical)
EIN:
27-1712829

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