Organization
AMERICAN DREAM ALF , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEIDY PEREZ GARCIA (ADMINISTRATOR)
(786) 419-8801
Entity
Organization
Contact information
Practice address
4532 W KNOLLWOOD ST, TAMPA, FL 33614-3636
(786) 441-9880
(813) 280-9418
Mailing address
4532 W KNOLLWOOD ST, TAMPA, FL 33614-3636
(786) 419-8801
(813) 280-9418
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117453800
—
FL
Enumeration date
03/28/2023
Last updated
04/13/2023
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