Organization
ALICE'S HOME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS REYES (PRESIDENT)
(305) 968-8802
Entity
Organization
Contact information
Practice address
12795 NW 10TH LN, MIAMI, FL 33182-1839
(305) 223-6443
Mailing address
12795 NW 10TH LN, MIAMI, FL 33182-1839
(305) 223-6443
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677221800
—
FL
Enumeration date
07/16/2008
Last updated
07/16/2008
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