Organization
LEGACY ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS N MOLINA (OWNER)
(786) 486-9365
Entity
Organization
Contact information
Practice address
13232 NW 9 LANE, MIAMI, FL 33182
(786) 542-6081
(786) 542-6081
Mailing address
13232 NW 9 LANE, MIAMI, FL 33182
(786) 542-6081
(786) 542-6081
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8807
AHCA
FL
Enumeration date
05/07/2021
Last updated
12/13/2023
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