Organization
ISA'S LOVING ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA MARRERO (OWNER)
(786) 312-2087
Entity
Organization
Contact information
Practice address
12525 SW 34TH ST, MIAMI, FL 33175-2903
(786) 312-2087
Mailing address
12525 SW 34TH ST, MIAMI, FL 33175-2903
(786) 312-2087
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10044
AHCA
FL
Enumeration date
10/25/2019
Last updated
10/25/2019
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