Healthcare Provider Details
I. General information
NPI: 1083873426
Provider Name (Legal Business Name): ZUNI ALF INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
370 NW 133RD PL
MIAMI FL
33182-1630
US
IV. Provider business mailing address
370 NW 133RD PL
MIAMI FL
33182-1630
US
V. Phone/Fax
- Phone: 305-225-7119
- Fax: 305-225-1289
- Phone: 305-225-7119
- Fax: 305-225-1289
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZUNILDA
MACHADO
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-234-5085