Organization
LEAHBELLA, LLC
Active
Other names
Royal Sun Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM E SMITH (OWNER)
(813) 932-3618
Entity
Organization
Contact information
Practice address
312 E 124TH AVE, TAMPA, FL 33612-4305
(813) 932-3618
Mailing address
312 E 124TH AVE, TAMPA, FL 33612-4305
(813) 932-3618
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6124
FL
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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