Laurelwood Alf

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

AL9554 Issued in FL

Legal business name

LAURELWOOD ALF

Practice address

1851 W. Ten Mile Rd
Cantonment, FL 32533

Phone

(850) 476-1246

Fax

(850) 476-4225

NPI assigned

Dec 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leonila Veracruz Dufva

Title

Owner/Administrator

Phone

(850) 476-1246

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1023353695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W TEN MILE RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337758",
            "telephone_number": "850-476-1246",
            "fax_number": "850-476-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W. TEN MILE RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "32533",
            "telephone_number": "850-476-1246",
            "fax_number": "850-476-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELWOOD ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "DUFVA",
        "authorized_official_first_name": "LEONILA",
        "authorized_official_middle_name": "VERACRUZ",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "850-476-1246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL9554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Kren, RBT
• Gene Raymond Lachney Jr., B.S.
• Brandon Lackey
• Jesse Lancaster, EMT
• Annagrace Lane
• Elizabeth Lawler
• Dleoleighaloha Layce
• Macy Lee
• Hannah Gabrielle Lett
• Wanda Lewis

• Adult Day Care Clinic/Center in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.