Provider Demographics
NPI:1558554667
Name:ALF CARE, INC.
Entity Type:Organization
Organization Name:ALF CARE, INC.
Other - Org Name:AT HOME WITH FRIENDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCI
Authorized Official - Middle Name:
Authorized Official - Last Name:NORLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-390-0666
Mailing Address - Street 1:3901 W PLATT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3942
Mailing Address - Country:US
Mailing Address - Phone:813-876-8229
Mailing Address - Fax:877-546-0687
Practice Address - Street 1:3901 W PLATT STREET
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3942
Practice Address - Country:US
Practice Address - Phone:813-876-8229
Practice Address - Fax:877-546-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8195311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)