NPI 1063372613
Primelife Home Living, LLC
Practice location
- Address
- 19644 SW 123rd Ave, Miami, FL 33177-4966
- Phone
- (305) 702-4663
- Mailing address
- PO Box 454332, Miami, FL 33245-4332
Authorised official
- Name
- Susana Albertson
- Title
- President & Ceo
- Phone
- (305) 702-4663
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1063372613
- Entity type
- Organization
- NPI issued
- 17 Nov 2025
- Record last updated
- 17 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.