MEDICARE: VIVO 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

General Provider Information

NPI Number	:	1891188678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVO ALF INC

Provider Business Mailing Address
First Line	:	14621 SW 10TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3116
Country	:	US
Telephone Number	:	786-631-3102
Fax Number	:

Provider Business Practice Location Address
First Line	:	14621 SW 10TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3116
Country	:	US
Telephone Number	:	786-631-3102
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IVET DEL VALLE
Credential	:
Telephone Number	:	786-631-3102

Provider Enumeration Date	:	03/18/2015
Last Update Date	:	03/18/2015

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Directions to “VIVO ALF INC ” Practice Location

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