MEDICARE: NATALIA A.L.F. INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL11084	FL

General Provider Information

NPI Number	:	1124291943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATALIA A.L.F. INC.

Provider Business Mailing Address
First Line	:	2118 SW 151ST PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5638
Country	:	US
Telephone Number	:	305-226-8003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2118 SW 151ST PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5638
Country	:	US
Telephone Number	:	305-226-8003
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NATALIA VIGOA
Credential	:
Telephone Number	:	305-226-8001

Provider Enumeration Date	:	04/13/2008
Last Update Date	:	04/13/2008

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