Organization
MIRA VIE AT MONTVILLE OPCO LLC
Active
Other names
Mira Vie at Montville
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE ABREU (DIRECTOR OF ADMIN)
(813) 330-2660
Entity
Organization
Contact information
Practice address
165 CHANGEBRIDGE RD, MONTVILLE, NJ 07045-9563
(973) 402-1100
(844) 808-0071
Mailing address
4301 ANCHOR PLAZA PKWY STE 300, TAMPA, FL 33634-7521
(813) 330-2660
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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