Provider Demographics
NPI:1396294732
Name:NUEVO HORIZONTE ALF, INC.
Entity type:Organization
Organization Name:NUEVO HORIZONTE ALF, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:O
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-765-8889
Mailing Address - Street 1:8111 N OLA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-2923
Mailing Address - Country:US
Mailing Address - Phone:786-765-8889
Mailing Address - Fax:813-884-8904
Practice Address - Street 1:8111 N OLA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-2923
Practice Address - Country:US
Practice Address - Phone:786-765-8889
Practice Address - Fax:813-884-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12874310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility