Organization
LA BELLA VIDA ALF III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVEL INFANTE (ADMINISTRATOR)
(813) 240-5478
Entity
Organization
Contact information
Practice address
14053 BRIARDALE LN, TAMPA, FL 33618-2218
(813) 240-5478
Mailing address
14053 BRIARDALE LN, TAMPA, FL 33618-2218
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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