Organization
B&V LA BELLE VIE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALAGUEL MEVOICY (ADMIN)
(321) 872-4642
Entity
Organization
Contact information
Practice address
193 ELDRON BLVD NE, PALM BAY, FL 32907-3088
(321) 872-4642
(321) 216-3148
Mailing address
193 ELDRON BLVD NE, PALM BAY, FL 32907-3088
(321) 872-4642
(321) 216-3148
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008552300
—
FL
Enumeration date
06/29/2018
Last updated
08/11/2023
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