MEDICARE: M & M LOVE CARE 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
1	310400000X	Assisted Living Facility	AL 11769	FL

General Provider Information

NPI Number	:	1861705345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & M LOVE CARE ALF INC

Provider Business Mailing Address
First Line	:	1935 SW 123 CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175
Country	:	US
Telephone Number	:	305-953-6848
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 SW 123RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-7718
Country	:	US
Telephone Number	:	305-953-6848
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MINERVA LOPEZ
Credential	:
Telephone Number	:	305-362-9151

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	07/26/2010

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Directions to “M & M LOVE CARE ALF INC ” Practice Location

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