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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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