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NPI Code Detail

MEDICARE: MERCY & MICHAEL ALF, INC

MEDICARE: MERCY & MICHAEL 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 Facility11389FL

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 : 1457584393
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY & MICHAEL ALF, INC
Provider Business Mailing Address
First Line : 3000-3002 SW 23 TERRACE
Second Line :
City : MIAMI
State : FL
Zip : 33145
Country : US
Telephone Number : 786-295-5920
Fax Number : 305-207-2379
Provider Business Practice Location Address
First Line : 3000-3002 SW 23 TERRACE
Second Line :
City : MIAMI
State : FL
Zip : 33145
Country : US
Telephone Number : 786-295-5920
Fax Number : 305-207-2379
Authorized Official
Title or Position : PRESIDENT
Name : MS. AGUSTINA R RODRIGUEZ
Credential :
Telephone Number : 786-295-5920
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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Directions to “MERCY & MICHAEL ALF, INC ” Practice Location

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