Healthcare Provider Details

I. General information

NPI: 1477983617
Provider Name (Legal Business Name): AMOR Y PAZ ALF INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 N.W. 197TH ST.
MIAMI FL
33015
US

IV. Provider business mailing address

7851 N.W. 197TH ST.
MIAMI FL
33015
US

V. Phone/Fax

Practice location:
  • Phone: 785-916-5006
  • Fax: 786-916-5006
Mailing address:
  • Phone: 785-916-5006
  • Fax: 786-916-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL11990
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberAL11990
License Number StateFL

VIII. Authorized Official

Name: ANGELA PEREZ
Title or Position: OWNER
Credential:
Phone: 786-406-3777