Organization
NESLY ALF SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E LOPEZ (PRESIDENT)
(305) 221-8868
Entity
Organization
Contact information
Practice address
9453 SW 17TH ST, MIAMI, FL 33165-7723
(305) 221-8868
Mailing address
9453 SW 17TH ST, MIAMI, FL 33165-7723
(305) 221-8868
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
9273
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
9273
FL
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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