Provider Demographics
NPI:1194490417
Name:ANJOLE ALF, LLC
Entity type:Organization
Organization Name:ANJOLE ALF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-527-4341
Mailing Address - Street 1:646 NW 129TH PLACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1173
Mailing Address - Country:US
Mailing Address - Phone:786-527-4341
Mailing Address - Fax:305-827-0077
Practice Address - Street 1:646 NW 129TH PLACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-1173
Practice Address - Country:US
Practice Address - Phone:786-527-4341
Practice Address - Fax:305-827-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility