NUESTRA CASA, INC.
Ambulatory Health at A St, Lake Worth, FL

License number
Florida AL11471
Category
Ambulatory Health
Type
Adult Day Care
Owner
Name: CONRADO BARRIO
Title: ADMINISTRATOR
Phone: (561) 252-6399
Address
Address
1906 N A St, Lake Worth, FL 33460
National Provider ID: 1255757415
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NUESTRA CASA, INC. at bizstanding.com

NUESTRA CASA INC

1906 N A St, Lake Worth, FL 33460

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Aug 27, 2007
Inactive since:
Aug 11, 2008
State ID:
P07000095849
Business type:
Florida Profit Corporation
Vice Presidents:
Tania Lopez (President), 1906 N A St, Lake Worth, FL 33460 (Physical),Conrado Barrio (Vice President), 1906 N A St, Lake Worth, FL 33460 (Physical)
Agent:
Lopez, Tania,1906 North, Lake Worth, FL 33460 (Physical)
EIN:
260793092

Ambulatory Health licenses in Florida










Other Doctors licenses in Florida