Provider Demographics
NPI:1942567599
Name:LA FINCA ALF, INC
Entity Type:Organization
Organization Name:LA FINCA ALF, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RAFAELA
Authorized Official - Middle Name:DEL PILAR
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-248-2307
Mailing Address - Street 1:17705 SW 218TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-7700
Mailing Address - Country:US
Mailing Address - Phone:305-248-2308
Mailing Address - Fax:305-235-4881
Practice Address - Street 1:17705 SW 218TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-7700
Practice Address - Country:US
Practice Address - Phone:305-248-2308
Practice Address - Fax:305-235-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12146310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility