Organization
CENTURY ASSISTED LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABEL ALCANTARA (OWNER)
(786) 642-1375
Entity
Organization
Contact information
Practice address
15900 S.W. 72 TERR., MIAMI, FL 33193
(305) 752-3064
(786) 551-2660
Mailing address
15900 S.W. 72 TERR., MIAMI, FL 33193
(305) 752-3064
(786) 551-2660
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10129
FL
310400000X
Assisted Living Facility
AL10913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141693600
MEDICAID OSS PROVIDER
FL
01
—
689043100
MEDICAID WAIVER PROVIDER
FL
Enumeration date
04/18/2007
Last updated
11/10/2020
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