# BELLA VITA CARE HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851839013
- **Authorized official:** SIMONA COCEA (PRESIDENT/OWNER)
- **Authorized official phone:** (917) 797-3265

## Contact information

- **Practice address:** 9924 WONDERFUL DAY DR, LAS VEGAS, NV 89148-4597
- **Practice address phone:** (702) 388-1118
- **Practice address fax:** (702) 388-0086
- **Mailing address:** 9924 WONDERFUL DAY DR, LAS VEGAS, NV 89148-4597
- **Mailing address phone:** (702) 388-1118
- **Mailing address fax:** (702) 388-0086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 8664AGC1 | NV | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017