Organization
LOS ALONSO ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIE LARA (OWNER)
(239) 994-4048
Entity
Organization
Contact information
Practice address
1946 REDMONT AVE, LEHIGH ACRES, FL 33972-1127
(239) 994-4048
Mailing address
1946 REDMONT AVE, LEHIGH ACRES, FL 33972-1127
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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