Alpha & Omega Adult Family Care
Custodial Care Facility, Adult Care Home in Miramar, FL. Organization (NPI-2).
NPI number1407147705
StatusActive
Last updated in NPPESFeb 14, 2018
Details
- NPI
- 1407147705
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha & Omega Adult Family Care
- Organization subpart
- No
- Enumeration date
- Apr 21, 2011
- Last updated
- Feb 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906166 | FL | Yes |
Other names
- Raphael, Christina Afch (Doing Business As)
Practice location
18574 Sw 55th.Miramar, FL 33029
Phone 954-704-3940 · Fax 954-431-0917
Mailing address
18574 Sw 55th.1Miramar, FL 33029
Phone 954-704-3940 · Fax 954-431-0917
Authorized official
Christina Raphael
Owner
9547043940
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