MEDICARE: M & J 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	10168	FL

General Provider Information

NPI Number	:	1629578687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & J ALF CORP

Provider Business Mailing Address
First Line	:	6132 SW 129TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-1238
Country	:	US
Telephone Number	:	305-386-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	6132 SW 129TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-1238
Country	:	US
Telephone Number	:	305-386-6695
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE ACOSTA
Credential	:
Telephone Number	:	305-386-6695

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	02/16/2018

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Directions to “M & J ALF CORP ” Practice Location

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