Provider Demographics
NPI:1972785095
Name:M.A.L.F INC
Entity Type:Organization
Organization Name:M.A.L.F INC
Other - Org Name:EXCELLENT LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-385-5565
Mailing Address - Street 1:1870 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3118
Mailing Address - Country:US
Mailing Address - Phone:305-888-0054
Mailing Address - Fax:305-386-1196
Practice Address - Street 1:1870 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3118
Practice Address - Country:US
Practice Address - Phone:305-888-0054
Practice Address - Fax:305-386-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9114310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility