Organization
LABELLA HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR MANERA (OWNER)
(727) 412-4898
Entity
Organization
Contact information
Practice address
10774 125TH AVE, LARGO, FL 33778-2712
(727) 412-4898
Mailing address
10774 125TH AVE, LARGO, FL 33778-2712
(727) 412-4898
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105225400
—
FL
Enumeration date
02/03/2022
Last updated
02/03/2022
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