Organization
BELLA VITA ALF AT CAPEBEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HOOVER (ADMINISTRATOR)
(813) 485-0316
Entity
Organization
Contact information
Practice address
2011 CAPE BEND AVE, TAMPA, FL 33613-4110
(813) 485-0316
Mailing address
2011 CAPE BEND AVE, TAMPA, FL 33613-4110
(813) 485-0316
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/09/2021
Last updated
01/04/2022
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