Organization
FINISTERRE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A. LOBATO (OWNER/ADMIN)
(786) 461-2055
Entity
Organization
Contact information
Practice address
4124 SW 97TH CT, MIAMI, FL 33165-5147
(305) 229-8907
(305) 229-8907
Mailing address
4124 SW 97TH CT, MIAMI, FL 33165-5147
(305) 229-8907
(305) 229-8907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8174
AHCA
FL
Enumeration date
08/02/2022
Last updated
08/02/2022
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