Organization
ABUELOS ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA MARIN (OWNER)
(305) 310-4239
Entity
Organization
Contact information
Practice address
1031 NW 39TH CT, MIAMI, FL 33126-3623
(305) 456-7330
(305) 503-7576
Mailing address
1031 NW 39TH CT, MIAMI, FL 33126-3623
(305) 456-7330
(305) 503-7576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF10458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022355900
—
FL
01
—
AL10358
AHCA LICENSE
FL
Enumeration date
09/25/2017
Last updated
12/14/2021
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