Organization
MIRA VIE AT GREEN KNOLL OPCO LLC
Active
Other names
Mira Vie at Green Knoll
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE ABREU (DIRECTOR OF ADMIN)
(813) 330-2660
Entity
Organization
Contact information
Practice address
680 ROUTE 202/206, BRIDGEWATER, NJ 08807-1767
(908) 252-3400
(844) 808-0071
Mailing address
4301 ANCHOR PLAZA PKWY STE 300, TAMPA, FL 33634-7521
(813) 330-2660
(844) 808-0071
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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