Provider Demographics
NPI:1790218220
Name:LLINA'S ALF LLC
Entity Type:Organization
Organization Name:LLINA'S ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:LLINY
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA NUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-610-0818
Mailing Address - Street 1:28122 SW 160TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1126
Mailing Address - Country:US
Mailing Address - Phone:786-610-0818
Mailing Address - Fax:305-224-1884
Practice Address - Street 1:28122 SW 160TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1126
Practice Address - Country:US
Practice Address - Phone:786-610-0818
Practice Address - Fax:305-224-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12992310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility