Organization
MAMMA MIA ALF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS PALACIOS (OWNER)
(954) 336-1556
Entity
Organization
Contact information
Practice address
441 SW 30TH AVE, FORT LAUDERDALE, FL 33312-2012
(954) 336-1556
Mailing address
441 SW 30TH AVE, FORT LAUDERDALE, FL 33312-2012
(954) 336-1556
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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