Organization
NUEVA VIDA ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALMIS MONTANO (PRESIDENT)
(813) 928-6380
Entity
Organization
Contact information
Practice address
1901 W OKALOOSA AVE, TAMPA, FL 33604-1025
(813) 928-6380
Mailing address
1901 W OKALOOSA AVE, TAMPA, FL 33604-1025
(813) 928-6380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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