Casual Country Living Inc.

NPI 1104183243 - Assisted Living Facility - 310400000X

NPI Details
NPI 1104183243
Enumeration Date 04/13/2012
Last Updated 04/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NANCY LEE NANCY
Position OWNER ADMINISTRATOR
Phone (321) 632-9622
Fax (321) 632-9622
Practice Location
4801 MANGO AVE
COCOA FL, 32926-2921, US
Phone (321) 632-9622
Fax (321) 632-9622
Business Location
4801 MANGO AVE
COCOA FL, 32926-2921, US
Phone (321) 632-9622
Fax (321) 632-9622
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL10167
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According to our database, Casual Country Living Inc. NPI is 1104183243, taxonomy code is 310400000X and license number is AL10167, license state is located at Florida. Casual Country Living Inc. physically located at 4801 Mango Ave, Cocoa FL, 32926-2921. NPI Number 1033115704 has the healthcare provider type.

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1104183243 NPI number is provided on an as is basis without warranty of any kind. 1104183243 is maintained by the National Plan & Provider Enumeration System. The contents of Casual Country Living Inc. are for informational purposes only.