Organization
NOA ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES VALDES (OWNER)
(305) 469-5464
Entity
Organization
Contact information
Practice address
14335 SW 288TH ST, HOMESTEAD, FL 33033-1752
(305) 469-5464
Mailing address
14335 SW 288TH ST, HOMESTEAD, FL 33033-1752
(305) 469-5464
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13666
AHCA
FL
Enumeration date
12/07/2021
Last updated
12/07/2021
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