Provider Demographics
NPI:1083076137
Name:ALF BEIT SHALOM INC
Entity Type:Organization
Organization Name:ALF BEIT SHALOM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ORIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-866-7086
Mailing Address - Street 1:9093 BANQUET WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-4711
Mailing Address - Country:US
Mailing Address - Phone:561-866-7086
Mailing Address - Fax:
Practice Address - Street 1:10047 NOCETO WAY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3598
Practice Address - Country:US
Practice Address - Phone:561-866-7086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-27
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility