Organization
KEVIN'S ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAIRYS GARIT (PRESIDENT)
(786) 400-5335
Entity
Organization
Contact information
Practice address
5111 SW 112TH AVE, MIAMI, FL 33165-6941
(786) 400-5335
(305) 274-5631
Mailing address
5111 SW 112TH AVE, MIAMI, FL 33165-6941
(786) 400-5335
(305) 274-5631
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023570500
—
FL
Enumeration date
04/15/2015
Last updated
07/03/2019
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