MR. Alton Roy Lattery SR.

NPI #1104129261 in Miami, Florida

Provider Information

NPI Number
1104129261
Entity Type
Individual
Name
MR. Alton Roy Lattery SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 13, 2010
Last Updated
May 25, 2017

Practice Location

Address
2090 NW 115TH ST
City
Miami
State
Florida
ZIP Code
33167-2710
Phone
(305) 687-7142

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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