Organization
LONG LIFE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS ZUBIAUR (OWNER)
(305) 484-7223
Entity
Organization
Contact information
Practice address
245 NW 5TH AVE, HOMESTEAD, FL 33030-5803
(786) 404-3543
(786) 404-3543
Mailing address
245 NW 5TH AVE, HOMESTEAD, FL 33030-5803
(786) 404-3543
(786) 404-3543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13450
AHCA
FL
Enumeration date
04/21/2020
Last updated
02/25/2022
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