Provider Demographics
NPI:1407277437
Name:ALF I LTD.
Entity Type:Organization
Organization Name:ALF I LTD.
Other - Org Name:QUIET OAKS ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKULA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-861-2088
Mailing Address - Street 1:11311 SW 95TH CIR
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-5064
Mailing Address - Country:US
Mailing Address - Phone:352-861-2088
Mailing Address - Fax:352-237-6499
Practice Address - Street 1:11311 SW 95TH CIR
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-5064
Practice Address - Country:US
Practice Address - Phone:352-861-2088
Practice Address - Fax:352-237-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9315310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility