Provider Demographics
NPI:1780092874
Name:BROWN'S ACLF
Entity type:Organization
Organization Name:BROWN'S ACLF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARMELA
Authorized Official - Middle Name:RIVERS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:305-628-0016
Mailing Address - Street 1:15770 NW 18TH PL
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-2118
Mailing Address - Country:US
Mailing Address - Phone:786-879-2211
Mailing Address - Fax:305-628-0016
Practice Address - Street 1:15770 NW 18TH PL
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-2118
Practice Address - Country:US
Practice Address - Phone:786-879-2211
Practice Address - Fax:305-628-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL61453104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness