Provider Demographics
NPI:1265869259
Name:A TOUCH OF CLASS ALF
Entity type:Organization
Organization Name:A TOUCH OF CLASS ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMBLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-479-6922
Mailing Address - Street 1:715 SW 51ST AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-3045
Mailing Address - Country:US
Mailing Address - Phone:954-479-6922
Mailing Address - Fax:
Practice Address - Street 1:715 SW 51ST AVE
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-3045
Practice Address - Country:US
Practice Address - Phone:954-479-6922
Practice Address - Fax:954-485-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11090310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL11090OtherAHCA