Organization
LAS VILLAS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET MENENDEZ (OWNER/ADMIN.)
(392) 673-7202
Entity
Organization
Contact information
Practice address
754 FESTIVAL AVE S, LEHIGH ACRES, FL 33974-0736
(239) 369-0631
(239) 673-7202
Mailing address
754 FESTIVAL AVE S, LEHIGH ACRES, FL 33974-0736
(239) 369-0631
(239) 673-7202
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13424
AHCA
FL
Enumeration date
03/12/2020
Last updated
12/21/2021
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