Organization
CLARA & ANGEL ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA CECILIA HERNANDEZ (PRESIDENT)
(786) 515-7715
Entity
Organization
Contact information
Practice address
5180 NW 2 STREET, MIAMI, FL 33126-5006
(305) 444-6129
(305) 444-6129
Mailing address
5180 NW 2 STREET, MIAMI, FL 33126-5006
(305) 444-6129
(305) 444-6129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136200
—
FL
Enumeration date
01/04/2011
Last updated
04/17/2018
Update your record
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