Organization
BELLE VISTA RETIREMENT HOME, INC.
Active
Other names
BELLE VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY C. MACKIN (ADMINISTRATOR)
(727) 587-0880
Entity
Organization
Contact information
Practice address
1453 BELLEAIR RD, CLEARWATER, FL 33756-2356
(727) 587-0880
(727) 588-2397
Mailing address
1453 BELLEAIR RD, CLEARWATER, FL 33756-2356
(727) 587-0880
(727) 588-2397
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674094403
—
FL
Enumeration date
10/31/2008
Last updated
10/31/2008
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