institution
Moonshine Alf Llc
Assisted Living Facility in Miami, Florida
NPI 1386349710

Moonshine Alf Llc is an Assisted Living Facility based in Miami, FL. Moonshine Alf Llc practices in Miami, FL. The NPI Number for Moonshine Alf Llc is 1386349710 and holds a License No. (Florida).

The current practice location address for Moonshine Alf Llc is 19240 Sw 124Th Ct, Miami, FL and can be reached out via phone at 305-278-7314 and via fax at 786-244-5787.

Location: 19240 Sw 124Th Ct, Miami, FL, 33177-6500
institution
Provider Profile Details
NPI Number
1386349710
Provider Name
Moonshine Alf Llc
Credential
Provider Entity Type
Organization
Address
19240 Sw 124Th Ct, Miami, FL, 33177-6500
Phone Number
305-278-7314
Fax Number
786-244-5787
Provider Enumeration Date
04/04/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9350 01 FL AHCA
institution
Provider Business Practice Location Address Details
Address
19240 Sw 124Th Ct
City
State
Zip
33177-6500
Phone Number
305-278-7314
Fax Number
786-244-5787
person
Provider Business Mailing Address Details
Address
19240 Sw 124Th Ct
City
State
Zip
33177-6500
Phone Number
305-278-7314
Fax Number
786-244-5787
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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