Organization
OPULENT LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RICARDO BELLAMY (CEO)
(954) 297-3424
Entity
Organization
Contact information
Practice address
3971 NW 122ND TER, SUNRISE, FL 33323-3364
(954) 297-3424
(954) 533-8528
Mailing address
8221 NW 54TH CT, LAUDERHILL, FL 33351-4965
(954) 297-3424
(954) 533-8528
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
688265096
FL
253Z00000X
In Home Supportive Care Agency
Primary
688265098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688265096
—
FL
05
—
688265098
—
FL
Enumeration date
11/18/2010
Last updated
11/18/2010
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