Provider Demographics
NPI:1942485826
Name:LEOMAY ALF, INC.
Entity Type:Organization
Organization Name:LEOMAY ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEONOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MURGUIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-648-1446
Mailing Address - Street 1:3666 SW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2514
Mailing Address - Country:US
Mailing Address - Phone:305-648-1446
Mailing Address - Fax:
Practice Address - Street 1:3666 SW 5TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2514
Practice Address - Country:US
Practice Address - Phone:305-648-1446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9705310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility