# BREAD OF LIFE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** B.O.L.A Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518036300
- **Authorized official:** MISS DEYON L WILLIAMS (OWNER OPERATOR ADMINISTRATOR)
- **Authorized official phone:** (727) 768-5066

## Contact information

- **Practice address:** 13025 120TH ST, LARGO, FL 33778-1401
- **Practice address phone:** (727) 581-0690
- **Practice address fax:** (727) 518-2222
- **Mailing address:** PO BOX 730, LARGO, FL 33779-0730
- **Mailing address phone:** (727) 581-0690
- **Mailing address fax:** (727) 518-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | FL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020