Provider Demographics
NPI:1972882330
Name:LULU BELL ALF, INC.
Entity type:Organization
Organization Name:LULU BELL ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-704-5886
Mailing Address - Street 1:18515 NW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3234
Mailing Address - Country:US
Mailing Address - Phone:305-760-2127
Mailing Address - Fax:305-702-2617
Practice Address - Street 1:18515 NW 23RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3234
Practice Address - Country:US
Practice Address - Phone:305-760-2127
Practice Address - Fax:305-702-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12046310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility