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NPI Code Detail

MEDICARE: TERESITA'S ALF INC

MEDICARE: TERESITA'S 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 FacilityAL10041FL

General Provider Information

NPI Number : 1700905940
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERESITA'S ALF INC
Provider Business Mailing Address
First Line : 9890 SW 28TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-2900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 CORAL WAY
Second Line :
City : MIAMI
State : FL
Zip : 33155-1949
Country : US
Telephone Number : 305-663-4482
Fax Number : 305-663-4482
Authorized Official
Title or Position : PRESIDENT
Name : DEBORAH ROSELLO
Credential :
Telephone Number : 305-663-4482
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “TERESITA'S ALF INC ” Practice Location

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