Organization
ALTON ACLF HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON ROY LATTERY SR. (0WNER)
(305) 687-7142
Entity
Organization
Contact information
Practice address
2090 NW 115TH ST, MIAMI, FL 33167-2710
(305) 687-7142
(305) 687-7142
Mailing address
2090 NW 115TH ST, MIAMI, FL 33167-2710
(305) 687-7142
(305) 687-7142
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8582
FL
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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