Organization
ABUELITOS FELICES II ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZANDRA ALCANTARA (OWNER)
(786) 250-5646
Entity
Organization
Contact information
Practice address
12744 SW 204TH ST, MIAMI, FL 33177-5113
(786) 250-5646
Mailing address
12744 SW 204TH ST, MIAMI, FL 33177-5113
(786) 250-5646
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL1106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010362700
—
FL
Enumeration date
04/28/2014
Last updated
04/28/2014
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