| NPI | 1669018719 |
|---|---|
| Former Legal Business Name | CAZEAU ADULT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | MICHELET CAZEAU Administrator 551-216-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |