Organization
LOREAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL BONA (MGR)
(727) 439-2677
Entity
Organization
Contact information
Practice address
747 BON AIR ST, LAKELAND, FL 33805-4631
(863) 688-1196
(863) 687-7707
Mailing address
1694 BAYHILL DR, OLDSMAR, FL 34677-1956
(727) 787-1260
(727) 787-5137
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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