MEDICARE: MERY ALF CORP

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	AL10060	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265641856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERY ALF CORP

Provider Business Mailing Address
First Line	:	12200 SW 2ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1502
Country	:	US
Telephone Number	:	305-480-6052
Fax Number	:	305-225-1289

Provider Business Practice Location Address
First Line	:	12200 SW 2ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1502
Country	:	US
Telephone Number	:	305-480-6052
Fax Number	:	305-225-1289

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JOADYS JORGE
Credential	:
Telephone Number	:	305-480-6052

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/23/2025

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Directions to “MERY ALF CORP ” Practice Location

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