Organization
LEORAY ALF INC. CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILEIDY REYNA (ADMINISTRATOR/OWNER)
(954) 559-9307
Entity
Organization
Contact information
Practice address
101 THOMAS RD, WEST PARK, FL 33023-5259
(954) 559-9307
(954) 404-7318
Mailing address
101 THOMAS RD, WEST PARK, FL 33023-5259
(954) 559-9307
(954) 404-7318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009693400
—
FL
Enumeration date
03/17/2014
Last updated
03/17/2014
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