Provider Demographics
NPI:1508204926
Name:AFFORDABLE COMMUNITY HOUSING TRUST -ALPHA, INC.
Entity Type:Organization
Organization Name:AFFORDABLE COMMUNITY HOUSING TRUST -ALPHA, INC.
Other - Org Name:IMPERIAL CLUB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SPRING
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-935-1801
Mailing Address - Street 1:2751 NE 183RD ST
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2160
Mailing Address - Country:US
Mailing Address - Phone:305-935-1801
Mailing Address - Fax:305-682-8804
Practice Address - Street 1:2751 NE 183RD ST
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2160
Practice Address - Country:US
Practice Address - Phone:305-935-1801
Practice Address - Fax:305-682-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9900310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility