Organization
BELLA VITA ALF AT LATANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARETTA LOVE (ADMINISTRATOR)
(727) 657-3596
Entity
Organization
Contact information
Practice address
3413 LATANIA DR, TAMPA, FL 33618-4759
(727) 657-3596
Mailing address
3413 LATANIA DR, TAMPA, FL 33618-4759
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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