NPI | 1033451059 |
---|---|
Doing Business As | DBA BUENA VIDA RESIDENCE INC. |
Entity Type | Organization |
Authorized Contact | DIANA M TORRES Owner Administrator 813-876-9244 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8637) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2022-05-18 |