Healthcare Provider Details

I. General information

NPI: 1407988728
Provider Name (Legal Business Name): PLEADS ALF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N.W. 69 STREET
MIAMI FL
33150
US

IV. Provider business mailing address

300 N.W. 69 STREET
MIAMI FL
33150
US

V. Phone/Fax

Practice location:
  • Phone: 305-759-5009
  • Fax:
Mailing address:
  • Phone: 305-759-5009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberAL 7784
License Number StateFL

VIII. Authorized Official

Name: SERE PEAN
Title or Position: PRESIDENT
Credential:
Phone: 305-759-5009