Organization
MY HOME ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B. WALTERS (ADMINISTRATOR)
(305) 999-9986
Entity
Organization
Contact information
Practice address
290 NW 188TH ST, MIAMI, FL 33169-4039
(305) 999-9986
(305) 999-9986
Mailing address
290 NW 188TH ST, MIAMI, FL 33169-4039
(305) 999-9986
(305) 999-9986
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8570
FL
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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