Provider Demographics
NPI:1649774910
Name:EXPEDITO'S ALF, INC.
Entity Type:Organization
Organization Name:EXPEDITO'S ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-607-0742
Mailing Address - Street 1:18900 SW 197TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1874
Mailing Address - Country:US
Mailing Address - Phone:786-495-9754
Mailing Address - Fax:786-717-6896
Practice Address - Street 1:18900 SW 197TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-1874
Practice Address - Country:US
Practice Address - Phone:786-495-9754
Practice Address - Fax:786-717-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12296310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility