Organization
IFA LOLA ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JISCLY BARRERA (PRESIDENT)
(786) 308-9915
Entity
Organization
Contact information
Practice address
12230 SW 220TH ST, MIAMI, FL 33170-2813
(786) 308-9915
Mailing address
12230 SW 220TH ST, MIAMI, FL 33170-2813
(786) 308-9915
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11179
FL
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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