MEDICARE: ALF SUNSET PALACE LLC

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
1	310400000X	Assisted Living Facility		FL

General Provider Information

NPI Number	:	1659883650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALF SUNSET PALACE LLC

Provider Business Mailing Address
First Line	:	7400 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-3805
Country	:	US
Telephone Number	:	786-597-3698
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-3805
Country	:	US
Telephone Number	:	786-597-3698
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARIA C SANCHEZ
Credential	:
Telephone Number	:	305-613-3625

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

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Directions to “ALF SUNSET PALACE LLC ” Practice Location

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