Organization
BELLAGIO PALMS ALF II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETTELL LOPEZ (OWNER)
(305) 988-0659
Entity
Organization
Contact information
Practice address
21 NW 133RD PL, MIAMI, FL 33182-1642
(305) 988-0659
Mailing address
21 NW 133RD PL, MIAMI, FL 33182-1642
(305) 988-0659
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110775300
—
FL
Enumeration date
06/29/2021
Last updated
06/29/2021
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