Provider Demographics
NPI:1457721219
Name:J & B ASSISTED LIVING FACILITY INC.
Entity type:Organization
Organization Name:J & B ASSISTED LIVING FACILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:BELKYS
Authorized Official - Middle Name:C
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-581-9245
Mailing Address - Street 1:15830 SW 141ST CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1092
Mailing Address - Country:US
Mailing Address - Phone:786-581-9245
Mailing Address - Fax:786-581-9245
Practice Address - Street 1:15830 SW 141ST CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1092
Practice Address - Country:US
Practice Address - Phone:786-581-9245
Practice Address - Fax:786-581-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12724310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility