Organization
ALEA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALIMOON N AHMUDALLY (MANAGER)
(954) 731-4863
Entity
Organization
Contact information
Practice address
5304 NW 16TH ST, LAUDERHILL, FL 33313-5490
(954) 731-4863
(954) 731-1073
Mailing address
5304 NW 16TH ST, LAUDERHILL, FL 33313-5490
(954) 731-4863
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL9465
FL
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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