Provider Demographics
NPI:1467639740
Name:R & M ELDERLY CARE
Entity Type:Organization
Organization Name:R & M ELDERLY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBALLOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-251-2983
Mailing Address - Street 1:2400 SW 137TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6339
Mailing Address - Country:US
Mailing Address - Phone:786-251-2983
Mailing Address - Fax:
Practice Address - Street 1:2400 SW 137TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6339
Practice Address - Country:US
Practice Address - Phone:786-251-2983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL-10061310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility