Organization
LA BELLA VIDA ALF INC
Active
Other names
LA BELLA VIDA ALF IV
Organization subpart
No
Provider details
NPI number
Authorized official
MAVEL INFANTE (OWNER/ADMINISTRATOR)
(813) 240-5478
Entity
Organization
Contact information
Practice address
7012 N ORLEANS AVE, TAMPA, FL 33604-4734
(813) 240-5478
Mailing address
7012 N ORLEANS AVE, TAMPA, FL 33604-4734
(813) 240-5478
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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