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NPI Code Detail

MEDICARE: LOVE OF HOPE ALF,INC.

MEDICARE: LOVE OF HOPE ALF,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityAL12071FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154606093
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE OF HOPE ALF,INC.
Provider Business Mailing Address
First Line : 2911 NW 174TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4036
Country : US
Telephone Number : 786-662-9587
Fax Number :
Provider Business Practice Location Address
First Line : 2911 NW 174TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4036
Country : US
Telephone Number : 786-662-9587
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : WINEL GEORGE
Credential :
Telephone Number : 786-662-9587
Provider Enumeration Date : 10/11/2011
Last Update Date : 10/11/2011

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Directions to “LOVE OF HOPE ALF,INC. ” Practice Location

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