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General NPI Number Information
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NPI Number | 1831305812
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Entity Type | Organization
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Legal Business Name | CAMPO ALEGRE ALF, INC.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 24201 SW 192ND AVE
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City | HOMESTEAD
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State | FL
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Zip | 33031-3459
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Country | US
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Telephone | 305-242-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 24201 SW 192ND AVE
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City | HOMESTEAD
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State | FL
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Zip | 33031-3459
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Country | US
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Telephone | 305-242-4429
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEIDA QUINTANA
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Credential |
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Telephone | 305-242-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 10865
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 10865
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License Number State | FL
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