Individual provider · Type 1 NPI

Alton Roy Lattery Sr.

Assisted Living Facility · Miami, FL

NPI number 1104129261 Active

Practice location

2090 NW 115th St
Miami, FL 33167-2710

Call (305) 687-7142 Map

Fax (305) 687-7142

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104129261

Alton Roy Lattery Sr.'s National Provider Identifier is 1104129261, issued on Dec 13, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Miami, FL. The record was last updated on May 25, 2017.