Organization
ANA'S FAMILY HOME ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS MARTINEZ (OWNER/ADMIN)
(305) 457-6501
Entity
Organization
Contact information
Practice address
11750 SW 192ND ST, MIAMI, FL 33177-3921
(305) 234-3568
(305) 235-4881
Mailing address
11750 SW 192ND ST, MIAMI, FL 33177-3921
(305) 234-3568
(305) 235-4881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9779
AHCA
FL
Enumeration date
12/17/2021
Last updated
12/17/2021
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