Organization
ALF SEVILLA HOME CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO HERRERA (PRESIDENT)
(786) 573-3111
Entity
Organization
Contact information
Practice address
10844 SW 154TH TER, MIAMI, FL 33157-1335
(786) 573-3111
(305) 485-1035
Mailing address
10844 SW 154TH TER, MIAMI, FL 33157-1335
(786) 573-3111
(305) 485-1035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141717700
—
FL
Enumeration date
06/19/2008
Last updated
06/19/2008
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