Organization
PRIMELIFE HOME LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA ALBERTSON (PRESIDENT & CEO)
(305) 702-4663
Entity
Organization
Contact information
Practice address
19644 SW 123RD AVE, MIAMI, FL 33177-4966
(305) 702-4663
Mailing address
PO BOX 454332, MIAMI, FL 33245-4332
(305) 702-4663
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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