Provider Demographics
NPI:1699246819
Name:GY ALF CORP FIRST RATE ALF
Entity type:Organization
Organization Name:GY ALF CORP FIRST RATE ALF
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DELFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-366-7086
Mailing Address - Street 1:11211 SW 188TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7528
Mailing Address - Country:US
Mailing Address - Phone:786-366-7086
Mailing Address - Fax:305-351-8464
Practice Address - Street 1:11211 SW 188TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-7528
Practice Address - Country:US
Practice Address - Phone:786-366-7086
Practice Address - Fax:305-351-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility