Organization
ALELISE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON ACOSTA (OWNER)
(305) 821-9532
Entity
Organization
Contact information
Practice address
6230 W 18TH AVE, HIALEAH, FL 33012-6118
(305) 821-9532
(305) 225-1289
Mailing address
6230 W 18TH AVE, HIALEAH, FL 33012-6118
(305) 821-9532
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10469
FL
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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