Provider Demographics
NPI:1174485064
Name:BLAIZE A.L.F. SOLUTIONS, LLC
Entity type:Organization
Organization Name:BLAIZE A.L.F. SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-256-5435
Mailing Address - Street 1:17321 SW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4039
Mailing Address - Country:US
Mailing Address - Phone:786-256-5435
Mailing Address - Fax:786-256-5435
Practice Address - Street 1:11520 SW 108TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3967
Practice Address - Country:US
Practice Address - Phone:305-255-8158
Practice Address - Fax:855-359-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-29
Last Update Date:2025-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness