Provider Demographics
NPI:1417370925
Name:EUFEMIA ALF, INC.
Entity Type:Organization
Organization Name:EUFEMIA ALF, INC.
Other - Org Name:EUFEMIA ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUFEMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-9633
Mailing Address - Street 1:3215 VILLAGE GREEN DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3148
Mailing Address - Country:US
Mailing Address - Phone:305-227-9633
Mailing Address - Fax:305-227-9633
Practice Address - Street 1:3215 VILLAGE GREEN DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3148
Practice Address - Country:US
Practice Address - Phone:305-227-9633
Practice Address - Fax:305-227-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9436261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1402943-00Medicaid