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Organization

ADVANCE ALF CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL GOLAN (OWNER)
(786) 417-0336
Entity
Organization

Contact information

Practice address
14335 S.W. 288TH STREET, HOMESTEAD, FL 33033
(786) 417-0336
(786) 339-8991
Mailing address
14335 S.W. 288TH STREET, HOMESTEAD, FL 33033
(786) 586-4524
(305) 225-1289

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10348
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142350900
FL
Enumeration date
05/24/2007
Last updated
03/31/2017
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