Organization
BELLA LUNA RETIREMENT HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO FORBES (OWNER)
(305) 225-2811
Entity
Organization
Contact information
Practice address
11511 SW 128TH ST, MIAMI, FL 33176-4484
(305) 255-2811
Mailing address
11511 SW 128TH ST, MIAMI, FL 33176-4484
(305) 225-2811
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10054
FL
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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