Casual Country Living Inc.

NPI #1104183243 in Cocoa, Florida

Provider Information

NPI Number
1104183243
Entity Type
Organization
Organization Name
Casual Country Living Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 13, 2012
Last Updated
Apr 13, 2012

Practice Location

Address
4801 MANGO AVE
City
Cocoa
State
Florida
ZIP Code
32926-2921
Phone
(321) 632-9622

Authorized Official

Name
MRS. NANCY LEE DUNLEAVY, CORE TRANING
Title
OWNER ADMINISTRATOR
Phone
(321) 632-9622

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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