Provider Demographics
NPI:1255712691
Name:M & Y CARING AND LOVING ALF
Entity type:Organization
Organization Name:M & Y CARING AND LOVING ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-231-9146
Mailing Address - Street 1:13280 SW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3907
Mailing Address - Country:US
Mailing Address - Phone:786-231-9146
Mailing Address - Fax:
Practice Address - Street 1:22712 SW 103RD CT
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1778
Practice Address - Country:US
Practice Address - Phone:305-254-6139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M & Y CARING AND LOVING ALF
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10867310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility