Organization
BELLAGIO PALMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHAMARA CHINEA (ADMINISTRATOR)
(305) 225-7119
Entity
Organization
Contact information
Practice address
21 NW 133RD PL, MIAMI, FL 33182-1642
(305) 225-7119
(305) 225-1289
Mailing address
21 NW 133RD PL, MIAMI, FL 33182-1642
(305) 225-7119
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11957
FL
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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