Provider Demographics
NPI:1851918742
Name:LADY ELIZABETH ALF INC.
Entity Type:Organization
Organization Name:LADY ELIZABETH ALF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-527-4341
Mailing Address - Street 1:16351 SW 42ND TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-3869
Mailing Address - Country:US
Mailing Address - Phone:305-255-7649
Mailing Address - Fax:305-827-0077
Practice Address - Street 1:16351 SW 42ND TERRACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-3869
Practice Address - Country:US
Practice Address - Phone:305-255-7649
Practice Address - Fax:305-827-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility