Healthcare Provider Details

I. General information

NPI: 1740147883
Provider Name (Legal Business Name): OUR FAMILY ASSISTED LIVING FACILITY III, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 SW 76TH AVE
MIAMI FL
33144-4438
US

IV. Provider business mailing address

3301 SW 129TH AVE
MIAMI FL
33175-2717
US

V. Phone/Fax

Practice location:
  • Phone: 786-353-2538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MEIBY MILIAN REYTOR
Title or Position: OWNER
Credential:
Phone: 786-597-4695