Organization
BREAD OF LIFE,LLC
Active
Other names
B.O.L.A Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEYON L WILLIAMS (OWNER OPERATOR ADMINISTRATOR)
(727) 768-5066
Entity
Organization
Contact information
Practice address
13025 120TH ST, LARGO, FL 33778-1401
(727) 581-0690
(727) 518-2222
Mailing address
PO BOX 730, LARGO, FL 33779-0730
(727) 581-0690
(727) 518-2222
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
FL
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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