Provider Demographics
NPI:1467926162
Name:UNITED LIVES LEISURE FACILITIES, INC.
Entity Type:Organization
Organization Name:UNITED LIVES LEISURE FACILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-531-8951
Mailing Address - Street 1:24167 SW 114TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-3156
Mailing Address - Country:US
Mailing Address - Phone:786-650-2148
Mailing Address - Fax:800-559-1169
Practice Address - Street 1:24167 SW 114TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-3156
Practice Address - Country:US
Practice Address - Phone:786-650-2148
Practice Address - Fax:800-559-1169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility