MEDICARE: ALLIANCE FOR AGING, 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	251B00000X	Case Management Agency		FL

General Provider Information

NPI Number	:	1851748842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE FOR AGING, INC.

Provider Business Mailing Address
First Line	:	760 NW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3162
Country	:	US
Telephone Number	:	305-671-6327
Fax Number	:	305-222-4110

Provider Business Practice Location Address
First Line	:	760 NW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3162
Country	:	US
Telephone Number	:	305-671-6327
Fax Number	:	305-222-4110

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. MAX ROTHMAN
Credential	:	JD
Telephone Number	:	305-670-6500

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	05/19/2016

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Directions to “ALLIANCE FOR AGING, INC. ” Practice Location

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