Organization
GOOD LIFE ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS FUMERO (ADMINISTRATOR)
(786) 547-7116
Entity
Organization
Contact information
Practice address
7746 NW 201ST TER, HIALEAH, FL 33015-6643
(786) 235-1044
Mailing address
7746 NW 201ST TER, HIALEAH, FL 33015-6643
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11047
FL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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