Revelation Alf, Corp
NPI #1205453867 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1205453867
- Entity Type
- Organization
- Organization Name
- Revelation Alf, Corp
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 30, 2020
- Last Updated
- Jun 30, 2020
Practice Location
- Address
- 8026 NW 162ND ST
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33016-6110
- Phone
- (305) 776-3105
Authorized Official
- Name
- LISBET BARBARA SOSA
- Title
- OWNER
- Phone
- (305) 776-3105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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