Organization
ALFONSO ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA ALFONSO (OWNER)
(305) 220-4449
Entity
Organization
Contact information
Practice address
17010 SW 100TH AVE, MIAMI, FL 33157-4300
(305) 528-6482
Mailing address
17010 SW 100TH AVE, MIAMI, FL 33157-4300
(305) 528-6482
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001747300
—
FL
Enumeration date
07/07/2011
Last updated
07/07/2011
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