Provider Demographics
NPI:1215205281
Name:TWO SISTERS TENDER CARE LLC
Entity Type:Organization
Organization Name:TWO SISTERS TENDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-663-0044
Mailing Address - Street 1:4521 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5305
Mailing Address - Country:US
Mailing Address - Phone:786-663-0044
Mailing Address - Fax:305-441-6662
Practice Address - Street 1:54/56 NW 45 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5342
Practice Address - Country:US
Practice Address - Phone:786-663-0044
Practice Address - Fax:305-441-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL-12069310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility