Organization
LA BELLA VIDA ALF II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVEL INFANTE (ADMINISTRATOR)
(813) 240-5478
Entity
Organization
Contact information
Practice address
5816 N GRADY AVE, TAMPA, FL 33614-5541
(813) 240-5478
Mailing address
5816 N GRADY AVE, TAMPA, FL 33614-5541
(813) 240-5478
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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